NORTH BAY PEDIATRICS
NPI 1932132297
Pediatrics in Vallejo, CA

Active since July 09, 2006CLIA 05D0601225 · Waiver
160 GLEN COVE MARINA RD #103, VALLEJO, CA 94591(707) 648-0711(707) 648-1306 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North Bay Pediatrics NPPES

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

NORTH BAY PEDIATRICS (NPI 1932132297) is a healthcare organization registered as a pediatrics in Vallejo, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 1, 2027 and lists Amy Jadkowski, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1932132297
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameNORTH BAY PEDIATRICS
Location Address160 GLEN COVE MARINA RD #103Vallejo, CA 94591
Mailing Address160 Glen Cove Marina Rd #103Vallejo, CA 94591 · (707) 648-0711 · Fax (707) 648-1306
Fax(707) 648-1306
Organization SubpartNo
Authorized OfficialAmy JadkowskiPractice Manager · (707) 648-0711
Enumeration DateJuly 9, 2006
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
NPI 1932132297 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.

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 05D0601225

North Bay Pediatrics · Vallejo, CA
Active · expires May 1, 2027
CLIA Number05D0601225
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorShanee F. Martin
Laboratory Phone(707) 648-0711
Laboratory LocationNorth Bay Pediatrics160 Glen Cove Marina Rd Ste 103, Vallejo, CA 94591
CLIA data matches this NPI record on: 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 North Bay Pediatrics's NPI number?

The NPI number for North Bay Pediatrics is 1932132297. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is North Bay Pediatrics located?

North Bay Pediatrics is located at 160 Glen Cove Marina Rd #103, Vallejo, CA 94591. The listed phone number is (707) 648-0711.

What is North Bay Pediatrics's specialty?

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

Does North Bay Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0601225) is associated with this NPI, valid through May 1, 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 North Bay Pediatrics was last updated on December 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.