MISSION PEDIATRICS, INC. (NPI# 1679651921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679651921 |
| Entity Type | Organization |
| Organization Name | MISSION PEDIATRICS, INC. |
| Practice Address |
215 W 4th St Perris CA 92570-2010 |
| Mailing Address |
Po Box 9270 Redlands CA 92375-2470 |
| Practice Telephone | 9519434751 |
| Practice Fax Number | 9516573522 |
| Mailing Telephone | 9517791670 |
| Mailing Fax Number | 9517791679 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | TIMOTHY WATSON (CEO) |
| Authorized Official Telephone | 9519434751 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952845851 | Mission Pediatrics, Inc. | Pediatrics | 114 W Vine St, Redlands, CA 92373-4762 | 2016-12-12 |
| 1205349305 | Mission Pediatrics, Inc. | Pediatrics | 1906 Commercenter E Ste 101, San Bernardino, CA 92408-3423 | 2017-11-10 |
| 1760934582 | Mission Pediatrics, Inc. | Pediatrics | 6950 Brockton Ave, Suite 4, Riverside, CA 92506-3830 | 2016-10-27 |
| 1750419438 | Mission Pediatrics, Inc. | Pediatrics | 6926 Brockton Ave, Ste 6, Riverside, CA 92506-3804 | 2007-03-02 |
| Street Address |
215 W 4TH ST |
| City | PERRIS |
| State | CA |
| Zip Code | 92570-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104138742 | Karin Eve Colunga | Nurse Practitioner | 215 W 4th St, Perris, CA 92570-2010 | 2010-07-12 |
| 1447306980 | John Chan | Pediatrics | 215 W 4th St, Perris, CA 92570-2010 | 2007-01-26 |
| 1639225154 | Kaneez Ali | Pediatrics | 215 W 4th St, Perris, CA 92570-2010 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
| 1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
| 1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
| 1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
| 1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
| 1144471939 | Three Angels Medical Professional Corporation | Internal Medicine | 180 East 4th St, Suite B and C, Perris, CA 92570 | 2008-10-10 |
| 1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
| 1598929341 | Jacqueline Anne Rockwell | Counselor | 555 Perris Blvd, Peris, CA 92570 | 2008-07-10 |
| 1053584128 | Perris Union High School District | Local Education Agency (LEA) | 755-b North A Street, Perris, CA 92570 | 2008-04-09 |
| 1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
| Find all providers in zip 92570 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548357890 | Tyrah M Silva | Pediatrics | 180 E 4th St, # C, Perris, CA 92570 | 2006-10-06 |
| 1437121415 | Elizabeth Carandang Laqui | Pediatrics | 498 W 4th St, Perris, CA 92570-2070 | 2006-02-03 |
| 1184987927 | Yusra Khan | Pediatrics | 498 W 4th St, Perris, CA 92570-2070 | 2012-06-18 |
| 1649296146 | Venus Eugenio Tanzo | Pediatrics | 498 W 4th St, Perris, CA 92570-2070 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.