MEDARDO C. SUPNET M.D.
NPI 1992817860
Pediatrics in Lynwood, CA

Q: What is Medardo Supnet's NPI number?

The NPI number for Medardo Supnet is 1992817860. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Medardo Supnet's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Medardo Supnet was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since August 31, 2006

3585 E. IMPERIAL HWY., LYNWOOD, CA 90262(310) 605-4260(310) 605-4263 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Jun 15, 2017 (2 updates tracked since 2017).

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About Medardo C. Supnet M.d. NPPES

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

MEDARDO C. SUPNET M.D. (NPI 1992817860) is an individual pediatrics provider in Lynwood, California, licensed in California (A46203) and active in the NPI registry since August 2006. He maintains a secondary practice location in Norwalk.

NPPES Registry Identity

NPI1992817860

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMEDARDO C. SUPNETCredential: M.D.

Location Address3585 E. IMPERIAL HWY.Lynwood, CA 90262-2654

Mailing Address3585 E. Imperial Hwy.Lynwood, CA 90262-2654 · (310) 605-4260 · Fax (310) 605-4263

Phone(310) 605-4260

Fax(310) 605-4263

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1992817860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A46203

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.

Also ListedSpecialistTaxonomy 174400000X · License A46203 (CA)

3585 E. IMPERIAL HWY., Lynwood, CA 90262

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Secondary Practice Location 1

Location 114359 Pioneer Blvd Ste CNorwalk, CA 90650-4850 · Phone (562) 406-8605 · Fax (562) 406-8614

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 Medardo Supnet's NPI number?

The NPI number for Medardo Supnet is 1992817860. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Medardo Supnet located?

Medardo Supnet practices at 3585 E. Imperial Hwy., Lynwood, CA 90262. The listed phone number is (310) 605-4260.

What is Medardo Supnet's specialty?

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

When was this NPI record last updated?

The NPPES record for Medardo Supnet was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.