LAMORINDA PEDIATRIC MEDICAL GROUP INC
NPI 1922013804
Pediatrics in Lafayette, CA

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

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

Active since July 29, 2006CLIA 05D0599452 · Waiver

930 DEWING AVE, LAFAYETTE, CA 94549(925) 284-1800(925) 284-1235 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lamorinda Pediatric Medical Group Inc NPPES

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

LAMORINDA PEDIATRIC MEDICAL GROUP INC (NPI 1922013804) is a healthcare organization registered as a pediatrics in Lafayette, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 14, 2026 and lists Michael H Malone, President, as its authorized official.

NPPES Registry Identity

NPI1922013804

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameLAMORINDA PEDIATRIC MEDICAL GROUP INC

Location Address930 DEWING AVELafayette, CA 94549-4223

Mailing Address930 Dewing AveLafayette, CA 94549-4223 · (925) 284-1800 · Fax (925) 284-1235

Phone(925) 284-1800

Fax(925) 284-1235

Organization SubpartNo

Authorized OfficialMichael H MalonePresident · (925) 284-1800

Enumeration DateJuly 29, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1922013804 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.

930 DEWING AVE, Lafayette, CA 94549

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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 05D0599452

Lamorinda Pediatrics · Lafayette, CA

Active · expires Aug 14, 2026

CLIA Number05D0599452

Laboratory TypePhysician Office

Certificate Effective DateAugust 15, 2024

Certificate Expiration DateAugust 14, 2026

Laboratory DirectorJennifer Anderson

Laboratory Phone(925) 284-1800

Laboratory LocationLamorinda Pediatrics930 Dewing Avenue, Lafayette, CA 94549

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 5

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

DEIRDRE ANNE FARLOW

Pediatrics