DEL RE MEDICAL CORP
NPI 1962361105
Pediatrics in San Diego, CA

Active since January 21, 2026CLIA 05D2285636 · Waiver
9333 GENESEE AVE STE 250, SAN DIEGO, CA 92121(858) 215-1144(760) 257-1951 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Del Re Medical Corp NPPES

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

DEL RE MEDICAL CORP (NPI 1962361105) is a healthcare organization registered as a pediatrics in San Diego, California and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Angelo Michael Del Re, Physician/director/owner, as its authorized official.

NPPES Registry Identity

NPI1962361105
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDEL RE MEDICAL CORP
Location Address9333 GENESEE AVE STE 250San Diego, CA 92121-2139
Mailing Address315 S Coast Highway 101 Ste U148Encinitas, CA 92024-3543 · (843) 834-0100
Fax(760) 257-1951
Organization SubpartNo
Authorized OfficialAngelo Michael Del RePhysician/director/owner · (843) 834-0100
Enumeration DateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
NPI 1962361105 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.

9333 GENESEE AVE STE 250, San Diego, CA 92121

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 05D2285636

Del Re Medical Corp Dba Colibri Pediatrics · San Diego, CA
Active · expires Jul 13, 2027
CLIA Number05D2285636
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorDr. Angelo M. Del Re
Laboratory Phone(843) 834-0100
Laboratory LocationDel Re Medical Corp Dba Colibri Pediatrics9333 Genesee Ave Suite 250, San Diego, CA 92121
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 2

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

Internal Medicine
9333 GENESEE AVE STE 250
SAN DIEGO, CA 92121
Pediatrics
9333 GENESEE AVE STE 250
SAN DIEGO, CA 92121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962361105, enumerated as an "organization" on January 21, 2026.

The provider is located at 9333 GENESEE AVE STE 250 SAN DIEGO, CA 92121 and the phone number is (858) 215-1144.

Pediatrics with taxonomy code 208000000X.