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PEDIATRIC MEDICAL CENTER
NPI 1881764298
Specialist in Long Beach, CA

Active since November 09, 2006CLIA 05D2303762 · Waiver
2921 REDONDO AVE, LONG BEACH, CA 90806(562) 426-5551(562) 426-9977 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Medical Center NPPES

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

PEDIATRIC MEDICAL CENTER (NPI 1881764298) is a healthcare organization registered as a specialist in Long Beach, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Louis P. Theriot, Partner, as its authorized official.

NPPES Registry Identity

NPI1881764298
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePEDIATRIC MEDICAL CENTER
Location Address2921 REDONDO AVELong Beach, CA 90806-2415
Mailing Address2921 Redondo AveLong Beach, CA 90806-2415 · (562) 426-5551 · Fax (562) 426-9977
Phone(562) 426-5551
Fax(562) 426-9977
Organization SubpartNo
Authorized OfficialLouis P. TheriotPartner · (562) 426-5551
Enumeration DateNovember 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881764298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2921 REDONDO AVE, Long Beach, CA 90806
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Other Identifiers 1

MedicaidGR0079270CA

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 05D2303762

Pediatric Medical Center · Long Beach, CA
Active · expires Apr 29, 2028
CLIA Number05D2303762
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorLouis P. Theirot
Laboratory Phone(562) 426-5551
Laboratory LocationPediatric Medical Center2921 Redondo Ave, Long Beach, CA 90806
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

SHANNA R COX M.D.
Specialist
2921 REDONDO AVE
LONG BEACH, CA 90806
Los Angeles County (562) 426-5551
PETER W WELTY M.D.
Specialist
2921 REDONDO AVE
LONG BEACH, CA 90806
Los Angeles County (562) 426-5551
LOUIS P THERIOT M.D.
Specialist
2921 REDONDO AVE
LONG BEACH, CA 90806
Los Angeles County (562) 426-5551
JOHN H SAMSON M.D.
Specialist
2921 REDONDO AVE
LONG BEACH, CA 90806
Los Angeles County (562) 426-5551
LORI A LIVINGSTON M.D.
Specialist
2921 REDONDO AVE
LONG BEACH, CA 90806
Los Angeles County (562) 426-5551

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 Pediatric Medical Center's NPI number?

The NPI number for Pediatric Medical Center is 1881764298. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Pediatric Medical Center located?

Pediatric Medical Center is located at 2921 Redondo Ave, Long Beach, CA 90806. The listed phone number is (562) 426-5551.

What is Pediatric Medical Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Pediatric Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2303762) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Medical Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.