DEVAUGHN PEACE MD
NPI 1831103779
Pediatrics in Los Angeles, CA

Active since July 28, 2006CLIA 05D0928544 · Waiver
4326 S WESTERN AVE, LOS ANGELES, CA 90062(213) 299-9914(213) 292-3254 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Devaughn Peace Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVAUGHN PEACE MD (NPI 1831103779) is an individual pediatrics provider in Los Angeles, California, licensed in California (G29868) and active in the NPI registry since July 2006. He holds a CLIA Waiver certificate valid through May 19, 2027.

NPPES Registry Identity

NPI1831103779
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDEVAUGHN PEACECredential: MD
Location Address4326 S WESTERN AVELos Angeles, CA 90062-1648
Mailing Address4326 S Western AveLos Angeles, CA 90062-1648 · (213) 299-9914 · Fax (213) 292-3254
Fax(213) 292-3254
Sole ProprietorYes
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1831103779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · G29868
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4326 S WESTERN AVE, Los Angeles, CA 90062

Other Identifiers 2

Medicare ID-Type UnspecifiedG29868CA · Medicare
Medicaid00G298680CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0928544

Devaughn K Peace MD · Los Angeles, CA
Active · expires May 19, 2027
CLIA Number05D0928544
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorDevaughn Peace
Laboratory Phone(213) 299-9914
Laboratory LocationDevaughn K Peace MD4326 S Western Avenue, Los Angeles, CA 90062
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4326 S WESTERN AVE
LOS ANGELES, CA 90062
Chiropractor
4326 S WESTERN AVE
LOS ANGELES, CA 90062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devaughn Peace's NPI number?

The NPI number for Devaughn Peace is 1831103779. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Devaughn Peace located?

Devaughn Peace practices at 4326 S Western Ave, Los Angeles, CA 90062. The listed phone number is (213) 299-9914.

What is Devaughn Peace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Devaughn Peace hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0928544) is associated with this NPI, valid through May 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Devaughn Peace was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.