CHINO PEDIATRICS MEDICAL CLINIC, INC.
NPI 1881266344
Pediatrics in Chino, CA

Q: What is Chino Pediatrics Medical Clinic, Inc.'s specialty?

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

Active since July 14, 2021CLIA 05D0979399 · Waiver

12584 CENTRAL AVE., CHINO, CA 91710(909) 287-1800(909) 287-3300 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Chino Pediatrics Medical Clinic, Inc. NPPES

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

CHINO PEDIATRICS MEDICAL CLINIC, INC. (NPI 1881266344) is a healthcare organization registered as a pediatrics in Chino, California and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Sandra Wang So, President, as its authorized official.

NPPES Registry Identity

NPI1881266344

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCHINO PEDIATRICS MEDICAL CLINIC, INC.

Location Address12584 CENTRAL AVE.Chino, CA 91710-3507

Mailing Address12584 Central Ave.Chino, CA 91710-3507 · (909) 287-1800 · Fax (909) 287-3300

Phone(909) 287-1800

Fax(909) 287-3300

Organization SubpartNo

Authorized OfficialSandra Wang SoPresident · (951) 333-9667

Enumeration DateJuly 14, 2021

NPPES CertifiedJuly 14, 2021

✔ NPI 1881266344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

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.

12584 CENTRAL AVE., Chino, CA 91710

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Other Identifiers 1

Medicaid9397533CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D0979399

Chino Pediatrics Medical Clinic · Chino, CA

Active · expires Oct 19, 2026

CLIA Number05D0979399

Laboratory TypePhysician Office

Certificate Effective DateOctober 20, 2024

Certificate Expiration DateOctober 19, 2026

Laboratory DirectorSandra W. So MD

Laboratory Phone(909) 287-1800

Laboratory LocationChino Pediatrics Medical Clinic12584 Central Ave, Chino, CA 91710

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Chino Pediatrics Medical Clinic, Inc.'s NPI number?

The NPI number for Chino Pediatrics Medical Clinic, Inc. is 1881266344. It was assigned to this organization in the NPPES registry on July 14, 2021.

Where is Chino Pediatrics Medical Clinic, Inc. located?

Chino Pediatrics Medical Clinic, Inc. is located at 12584 Central Ave., Chino, CA 91710. The listed phone number is (909) 287-1800.

What is Chino Pediatrics Medical Clinic, Inc.'s specialty?

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

Does Chino Pediatrics Medical Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0979399) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chino Pediatrics Medical Clinic, Inc. was last updated on July 14, 2021. 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.