INTERNATIONAL PEDIATRIC MEDICAL GROUP INC
NPI 1861591752
Pediatrics in Oakland, CA

Q: What is International Pediatric Medical Group Inc's specialty?

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

Active since September 21, 2006CLIA 05D0990908 · Waiver

600 INTERNATIONAL BLVD, #102, OAKLAND, CA 94606(510) 208-3540(510) 208-3553 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About International Pediatric Medical Group Inc NPPES

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

INTERNATIONAL PEDIATRIC MEDICAL GROUP INC (NPI 1861591752) is a healthcare organization registered as a pediatrics in Oakland, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 4, 2027 and lists An Tan Pham, Md, as its authorized official.

NPPES Registry Identity

NPI1861591752

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameINTERNATIONAL PEDIATRIC MEDICAL GROUP INC

Location Address600 INTERNATIONAL BLVD, #102Oakland, CA 94606

Mailing Address600 International Blvd, #102Oakland, CA 94606 · (510) 208-3540 · Fax (510) 208-3553

Phone(510) 208-3540

Fax(510) 208-3553

Organization SubpartNo

Authorized OfficialAn Tan PhamMd · (510) 208-3540

Enumeration DateSeptember 21, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1861591752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A67904

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.

600 INTERNATIONAL BLVD, Oakland, CA 94606

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Other Identifiers 1

Other00A679040CA · Medi Cal

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D0990908

International Ped Med Grp Inc · Oakland, CA

Active · expires Sep 4, 2027

CLIA Number05D0990908

Laboratory TypePhysician Office

Certificate Effective DateSeptember 5, 2025

Certificate Expiration DateSeptember 4, 2027

Laboratory DirectorAn T. Pham MD

Laboratory Phone(510) 208-3540

Laboratory LocationInternational Ped Med Grp Inc600 International Blvd Ste 102, Oakland, CA 94606

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.

INTERNATIONAL OPTOMETRY INC

Optometrist

600 INTERNATIONAL BLVD, SUITE 101
OAKLAND, CA 94606

Alameda County (510) 832-0908

DR. TUONG-VI HOANG LE DOCTOR OF OPTOMETRY

Optometrist

600 INTERNATIONAL BLVD, SUITE 101
OAKLAND, CA 94606

Alameda County (510) 832-0908

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 International Pediatric Medical Group Inc's NPI number?

The NPI number for International Pediatric Medical Group Inc is 1861591752. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is International Pediatric Medical Group Inc located?

International Pediatric Medical Group Inc is located at 600 International Blvd #102, Oakland, CA 94606. The listed phone number is (510) 208-3540.

What is International Pediatric Medical Group Inc's specialty?

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

Does International Pediatric Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0990908) is associated with this NPI, valid through September 4, 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 International Pediatric Medical Group Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.