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PEDIATRIC MEDICAL GROUP OF WATSONVILLE
NPI 1932545704
Pediatrics in Freedom, CA

Active since May 20, 2013CLIA 05D0895720 · Waiver
222 GREEN VALLEY RD, FREEDOM, CA 95019(831) 728-2969 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Medical Group Of Watsonville NPPES

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

PEDIATRIC MEDICAL GROUP OF WATSONVILLE (NPI 1932545704) is a healthcare organization registered as a pediatrics in Freedom, California and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Patrick S Clyne, President, as its authorized official.

NPPES Registry Identity

NPI1932545704
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCLYNE & HSU MEDICAL GROUP INC
Location Address222 GREEN VALLEY RDFreedom, CA 95019-3136
Mailing Address222 Green Valley RdFreedom, CA 95019-3136 · (831) 728-2969
Phone(831) 728-2969
Organization SubpartNo
Authorized OfficialPatrick S ClynePresident · (831) 713-9743
Enumeration DateMay 20, 2013
Last NPPES UpdateDecember 30, 2013
✔ NPI 1932545704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G79053
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.
222 GREEN VALLEY RD, Freedom, CA 95019
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Other Names 1

Doing Business AsPediatric Medical Group Of Watsonville

Other Identifiers 1

Medicare UPING39013CA

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 05D0895720

Pediatric Medical Group Of Watsonville · Freedom, CA
Active · expires Sep 23, 2027
CLIA Number05D0895720
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorCarmen P. Hsu
Laboratory Phone(831) 728-2969
Laboratory LocationPediatric Medical Group Of Watsonville222 Green Valley Rd, Freedom, CA 95019
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 7

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

CARMEN PHILOMENA HSU M. D.
Pediatrics
222 GREEN VALLEY RD
FREEDOM, CA 95019
Santa Cruz County (831) 728-2969
THE PEDIATRI MEDICAL GROUP OF WATSONVILLE , INC
Pediatrics
222 GREEN VALLEY RD
FREEDOM, CA 95019
Santa Cruz County (831) 728-2969
DR. JEFFREY A ROISMAN MD
Pediatrics
222 GREEN VALLEY RD
FREEDOM, CA 95019
Santa Cruz County (831) 728-2969
DR. NANCY LORAINE JACOBSEN MD
Pediatrics
222 GREEN VALLEY RD
FREEDOM, CA 95019
Santa Cruz County (831) 728-2969
DR. GEORGE PARDUE BUNCH MD
Pediatrics
222 GREEN VALLEY RD, PEDIATRIC MEDICAL GROUP OF WATSONVILLE
FREEDOM, CA 95019
Santa Cruz County (831) 728-2969
PATRICK STEPHEN CLYNE MD
Pediatrics
222 GREEN VALLEY RD
FREEDOM, CA 95019
Santa Cruz County (831) 728-2969
MS. DEBORAH D ROISMAN RNNP
Nurse Practitioner (Family)
222 GREEN VALLEY RD
FREEDOM, CA 95019
Santa Cruz County (831) 728-2969

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 Clyne & Hsu Medical Group Inc's NPI number?

The NPI number for Clyne & Hsu Medical Group Inc is 1932545704. It was assigned to this organization in the NPPES registry on May 20, 2013. The provider is doing business as Pediatric Medical Group Of Watsonville.

Where is Clyne & Hsu Medical Group Inc located?

Clyne & Hsu Medical Group Inc is located at 222 Green Valley Rd, Freedom, CA 95019. The listed phone number is (831) 728-2969.

What is Clyne & Hsu Medical Group Inc's specialty?

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

Does Clyne & Hsu Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0895720) is associated with this NPI, valid through September 23, 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 Clyne & Hsu Medical Group Inc was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.