CHINO PEDIATRIC MEDICAL GROUP
NPI 1962486993
Pediatrics in Chino Hills, CA

Active since December 02, 2005CLIA 05D1012341 · Waiver
15944 LOS SERRANOS COUNTRY CLUB DR, SUITE 220, CHINO HILLS, CA 91709(909) 393-6202(909) 393-6204 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chino Pediatric Medical Group NPPES

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

CHINO PEDIATRIC MEDICAL GROUP (NPI 1962486993) is a healthcare organization registered as a pediatrics in Chino Hills, California and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Daryl K Tsai, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1962486993
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHINO PEDIATRIC MEDICAL GROUP
Location Address15944 LOS SERRANOS COUNTRY CLUB DR, SUITE 220Chino Hills, CA 91709-3991
Mailing Address15944 Los Serranos Country Club Dr, Suite 220Chino Hills, CA 91709-3991 · (909) 393-6202 · Fax (909) 363-6204
Fax(909) 393-6204
Organization SubpartNo
Authorized OfficialDaryl K TsaiTreasurer · (909) 393-6202
Enumeration DateDecember 2, 2005
Last NPPES UpdateJuly 7, 2014
NPI 1962486993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · 27982
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.
15944 LOS SERRANOS COUNTRY CLUB DR, Chino Hills, CA 91709

Other Identifiers 4

Medicaid00A673880CA
Medicaid00A674780CA
Medicaid1285619825CA
Medicaid1447235080CA

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 05D1012341

Chino Pediatric Medical Group · Chino Hills, CA
Active · expires Sep 17, 2027
CLIA Number05D1012341
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorTerrence E. Liu MD
Laboratory Phone(909) 902-6202
Laboratory LocationChino Pediatric Medical Group15944 Los Serranos Country Club Dr Ste 220, Chino Hills, CA 91709
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Obstetrics & Gynecology (Gynecology)
15944 LOS SERRANOS COUNTRY CLUB DR, SUITE 230
CHINO HILLS, CA 91709
Pediatrics
15944 LOS SERRANOS COUNTRY CLUB DR, SUITE 220
CHINO HILLS, CA 91709
Pediatrics
15944 LOS SERRANOS COUNTRY CLUB DR
CHINO HILLS, CA 91709
Urology
15944 LOS SERRANOS COUNTRY CLUB DR, SUITE 200
CHINO HILLS, CA 91709
Pediatrics
15944 LOS SERRANOS COUNTRY CLUB DR, SUITE 220
CHINO HILLS, CA 91709
Pediatrics
15944 LOS SERRANOS COUNTRY CLUB DR, SUITE 160
CHINO HILLS, CA 91709
Clinic/Center (Medical Specialty)
15944 LOS SERRANOS COUNTRY CLUB DR, SUITE 200
CHINO HILLS, CA 91709
Occupational Therapist
15944 LOS SERRANOS COUNTRY CLUB DR
CHINO HILLS, CA 91709

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 Chino Pediatric Medical Group's NPI number?

The NPI number for Chino Pediatric Medical Group is 1962486993. It was assigned to this organization in the NPPES registry on December 2, 2005.

Where is Chino Pediatric Medical Group located?

Chino Pediatric Medical Group is located at 15944 Los Serranos Country Club Dr Suite 220, Chino Hills, CA 91709. The listed phone number is (909) 393-6202.

What is Chino Pediatric Medical Group's specialty?

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

Does Chino Pediatric Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1012341) is associated with this NPI, valid through September 17, 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 Chino Pediatric Medical Group was last updated on July 7, 2014. 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.