Kiddox Medical Group, Inc.
NPI 1255479408 · Pediatrics Physician · Santa Monica, CA
Kiddox Medical Group, Inc. is a Pediatrics Physician organization in Santa Monica, CA (NPI 1255479408).
Provider details
- NPI number
- 1255479408
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Bourne, Secretary(310) 453-9010
- License
- G24539 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Kiddox Medical Group, Inc.'s NPI number?
- Kiddox Medical Group, Inc.'s National Provider Identifier (NPI) is 1255479408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kiddox Medical Group, Inc.?
- Kiddox Medical Group, Inc. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kiddox Medical Group, Inc. located?
- Kiddox Medical Group, Inc.'s practice location on file with NPPES is 1245 16th St, Santa Monica, CA 90404-1235.
- What is Kiddox Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Kiddox Medical Group, Inc. is (310) 453-9010.
- Who is the authorized official for Kiddox Medical Group, Inc.?
- The authorized official listed on Kiddox Medical Group, Inc.'s NPPES record is Jeffrey Bourne, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kiddox Medical Group, Inc.'s NPI active?
- Yes — Kiddox Medical Group, Inc.'s NPI (1255479408) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.