Provider Demographics
NPI:1184101511
Name:KIDS 1ST PEDIATRICS, INC.
Entity type:Organization
Organization Name:KIDS 1ST PEDIATRICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REZA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMADINIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-382-4939
Mailing Address - Street 1:18112 OUTER HWY 18 STE 101
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2211
Mailing Address - Country:US
Mailing Address - Phone:760-946-2243
Mailing Address - Fax:760-946-0348
Practice Address - Street 1:18002 WIKA RD
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2125
Practice Address - Country:US
Practice Address - Phone:760-946-2243
Practice Address - Fax:760-946-0348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85204208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty