Pediatrix Medical Group Of California, A Professional Corp
General Acute Care Hospital, Children in Sunrise, FL. Organization (NPI-2).
NPI number1790749414
StatusActive
Last updated in NPPESJul 6, 2021
Details
- NPI
- 1790749414
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatrix Medical Group Of California, A Professional Corp
- Organization subpart
- No
- Enumeration date
- Apr 12, 2006
- Certification date
- Jul 6, 2021
- Last updated
- Jul 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282NC2000X | General Acute Care Hospital, Children | A45248 | CA | Yes |
Practice location
1301 Concord TerSunrise, FL 33323-2843
Phone 800-243-3839
Mailing address
2425 Samaritan DrSan Jose, CA 95124-3908
Phone 408-559-2262
Authorized official
Nanette Sanders
Assistant Secretary
8002433839
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