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FOOTHILL PEDIATRIC & ADOLESCENT CLINIC
NPI 1952499378
Pediatrics in San Dimas, CA

Active since October 11, 2006CLIA 05D2198098 · Waiver
1330 W COVINA BLVD, SUITE 106, SAN DIMAS, CA 91773(909) 599-6876(909) 592-9787 Get Directions Write a Review

NPPES record last updated: October 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Foothill Pediatric & Adolescent Clinic NPPES

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

FOOTHILL PEDIATRIC & ADOLESCENT CLINIC (NPI 1952499378), doing business as George M Madanat M Inc, is a healthcare organization registered as a pediatrics in San Dimas, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists George M Madanat, President, as its authorized official.

NPPES Registry Identity

NPI1952499378
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFOOTHILL PEDIATRIC & ADOLESCENT CLINIC
Location Address1330 W COVINA BLVD, SUITE 106San Dimas, CA 91773
Mailing Address1330 W Covina Blvd, Suite 106San Dimas, CA 91773 · (909) 599-6876 · Fax (909) 592-9787
Phone(909) 599-6876
Fax(909) 592-9787
Organization SubpartNo
Authorized OfficialGeorge M MadanatPresident · (909) 599-6876
Enumeration DateOctober 11, 2006
Last NPPES UpdateOctober 15, 2013
✔ NPI 1952499378 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.
1330 W COVINA BLVD, San Dimas, CA 91773
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Other Names 1

Former Legal Business NameGeorge M Madanat M Inc

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 05D2198098

Foothills Pediatric And Adolescent Clinic · San Dimas, CA
Active · expires Oct 28, 2026
CLIA Number05D2198098
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorMichael Madanat
Laboratory Phone(909) 599-6876
Laboratory LocationFoothills Pediatric And Adolescent Clinic1330 W Covina Blvd Ste 106, San Dimas, CA 91773
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 19

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

DR. WANDA ANN BRADY MD
Obstetrics & Gynecology
1330 W COVINA BLVD, SUITE 201
SAN DIMAS, CA 91773
Los Angeles County (909) 592-9712
SOUTHERN CALIFORNIA ASSOCIATED NEUROLOGISTS IPA INC
Health Maintenance Organization
1330 W COVINA BLVD, SUITE 103
SAN DIMAS, CA 91773
Los Angeles County (909) 982-2719
FOOTHILLS NEUROLOGICAL MEDICAL GP
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1330 W COVINA BLVD, #103
SAN DIMAS, CA 91773
Los Angeles County (909) 592-2145
STEPHEN SIU MENG LAU PHARM.D.
Pharmacist
1330 W COVINA BLVD
SAN DIMAS, CA 91773
Los Angeles County (909) 599-8369
HABIB ALI ISMAIL MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1330 W COVINA BLVD, STE 103
SAN DIMAS, CA 91773
Los Angeles County (909) 592-2145
MOHSEN I ALI M D INC
Psychiatry & Neurology (Neurology)
1330 W COVINA BLVD, SUITE 103
SAN DIMAS, CA 91773
Los Angeles County (909) 592-2145
VICTOR MORALES MD
Obstetrics & Gynecology
1330 W COVINA BLVD, SUITE 201
SAN DIMAS, CA 91773
Los Angeles County (626) 331-6411
VALLEY GASTROENTEROLGY CONSULTANTS MEDICAL CENTER, INC.
Internal Medicine (Gastroenterology)
1330 W COVINA BLVD, SUITE 203
SAN DIMAS, CA 91773
Los Angeles County (909) 592-6157

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 Foothill Pediatric & Adolescent Clinic's NPI number?

The NPI number for Foothill Pediatric & Adolescent Clinic is 1952499378. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider was formerly known as George M Madanat M Inc.

Where is Foothill Pediatric & Adolescent Clinic located?

Foothill Pediatric & Adolescent Clinic is located at 1330 W Covina Blvd Suite 106, San Dimas, CA 91773. The listed phone number is (909) 599-6876.

What is Foothill Pediatric & Adolescent Clinic's specialty?

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

Does Foothill Pediatric & Adolescent Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2198098) is associated with this NPI, valid through October 28, 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 Foothill Pediatric & Adolescent Clinic was last updated on October 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.