Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Shield Promise Healthplan

Organization Pediatrics Physician · NPI 1578214748

Blue Shield Promise Healthplan is a Pediatrics Physician in Lancaster, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
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Practice location Address checks out

44426 10th St W Ste A
Lancaster, CA 93534
Phone: (661) 448-8910
Fax: (661) 948-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Pediatrics Physician Taxonomy 208000000X
Pain Medicine Physician Taxonomy 208VP0000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1578214748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristen Cerf — President & Ceo Blue Shield Ca Prom · (510) 607-4376
Other names Blue Shield Promise Primary And Urgent Care Lancaster
NPI enumeratedJanuary 10, 2022
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022
Mailing address44426 10th Street West, Suite A, Lancaster, CA 93534

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