MILLS-PENINSULA HEALTH SERVICES


Address: 1720 El Camino Real, Burlingame, CA 94010-3224
Phone: 6506965400

MILLS-PENINSULA HEALTH SERVICES (NPI# 1093862930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093862930
Entity Type Organization
Organization Name MILLS-PENINSULA HEALTH SERVICES
Other Organization Name SENIOR FOCUS
Practice Address 1720 El Camino Real
Burlingame
CA 94010-3224
Mailing Address Po Box 60000 File #73688
San Francisco
CA 94160-0001
Practice Telephone 6506965400
Practice Fax Number 6506523052
Mailing Telephone 6506965400
Mailing Fax Number 6506523052
Enumeration Date 2007-01-04
Last Update Date 2007-07-13
Authorized Official Name MR. ROBERT MERWIN (CEO)
Authorized Official Telephone 6506965400
Is Organization Subpart Y
Parent Organization Name MILLS PENINSULA HEALTH SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA ADU70045F 05

Other Provider/Organization Names

Other Name Type Code
Senior Focus Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1891739298 Mills-peninsula Health Services Skilled Nursing Facility 101 So San Mateo Dr, San Mateo, CA 94401-3805 2006-06-15
1952547788 Mills-peninsula Health Services Clinic/Center 1720 El Camino Real, Suite 10, Burlingame, CA 94010-3225 2008-12-29
1386880102 Mills-peninsula Health Services General Acute Care Hospital 570 Willow Rd, Menlo Park, CA 94025-2617 2008-12-29
1972749893 Mills-peninsula Health Services General Acute Care Hospital 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 2008-12-23
1114192697 Mills-peninsula Health Services Skilled Nursing Facility 1609 Trousdale Dr, Burlingame, CA 94010-4520 2008-04-25
1598872004 Mills-peninsula Health Services Psychiatric Unit 1501 Trousdale Dr, Burlingame, CA 94010-4506 2006-08-23
1770527251 Mills-peninsula Health Services Rehabilitation Hospital 100 S San Mateo Dr, San Mateo, CA 94401-3805 2006-06-15
1851335335 Mills-peninsula Health Services Clinic/Center 100 S San Mateo Dr, San Mateo, CA 94401-3805 2006-06-15
1518937051 Mills-peninsula Health Services Clinical Medical Laboratory 1501 Trousdale Dr, Burlingame, CA 94010-4506 2006-01-26

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MILLS-PENINSULA HEALTH SERVICES 1501 Trousdale Dr, Burlingame, CA 94010-4506

Office Location

Street Address 1720 EL CAMINO REAL
City BURLINGAME
State CA
Zip Code 94010-3224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861486359 Lisa A. Frey Nurse Practitioner 1720 El Camino Real, Suite 130, Burlingame, CA 94010-3224 2005-09-10
1922462431 Sutter Bay Hospitals Custodial Care Facility 1720 El Camino Real, Suite 10, Burlingame, CA 94010-3224 2016-04-11
1801264874 Lillian Nelson Nurse Practitioner 1720 El Camino Real, Burlingame, CA 94010-3224 2015-09-08
1164763231 Anne Thai Md, A Professional Corporation Internal Medicine 1720 El Camino Real, Suite Number 155, Burlingame, CA 94010-3224 2013-03-14
1720352636 Aaron M. Roland Family Medicine 1720 El Camino Real, 130, Burlingame, CA 94010-3224 2012-02-24
1861765901 Victor Liu Specialist 1720 El Camino Real, Suite 200, Burlingame, CA 94010-3224 2012-02-21
1689942062 Howard A Cohen Md, Inc Specialist 1720 El Camino Real, Ste 210, Burlingame, CA 94010-3224 2011-12-13
1902173388 Peggy Zeng Optometrist 1720 El Camino Real, Suite 225, Burlingame, CA 94010-3224 2011-11-29
1548566177 Aditi Chandra Internal Medicine 1720 El Camino Real, Ste 160, Burlingame, CA 94010-3224 2011-01-29
1548583651 Peninsula Endoscopy Center LLC Clinic/Center 1720 El Camino Real, Suite 100, Burlingame, CA 94010-3224 2010-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568071850 Jilla Lavian Social Worker 1240 Lakeview Drive, San Mateo, CA 94010 2020-07-23
1982246575 Golden State Heart & Vascular Associates Internal Medicine 1850 El Camino Real Ste 200, Burlingame, CA 94010 2019-10-15
1184182248 Primrose Healing and Wellness, Inc. Marriage & Family Therapist 405 Primrose Rd, #320, Burlingame, CA 94010 2019-03-07
1720508724 Monazza Chaudhry Pharmacist 1828 El Camino Real #104, Burlingame, CA 94010 2017-06-21
1861804007 Heidi Platt Counselor 826 Mahler Road, Burlingame, CA 94010 2014-05-22
1144662685 Scarlett M Reyes Counselor 1818 Gilbreth Road, Suite 230, Womens Recovery Association, Burlingame, CA 94010 2013-07-25
1760821979 Elliot Naidus Internal Medicine 1720 El Camino Real Ste 150, Burlingame, CA 94010 2013-06-20
1831430651 Huddleston Care, LLC In Home Supportive Care 1364 Drake Avenue, Burlingame, CA 94010 2013-03-04
1891070843 Linda Susan Notario Pharmacist 260 El Camino Raal, Burlingame, CA 94010 2011-10-20
1063794006 Tram Anh Le Pharmacist 260 N El Camino Real, Burlingame, CA 94010 2011-09-15
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Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952547788 Mills-peninsula Health Services Clinic/Center 1720 El Camino Real, Suite 10, Burlingame, CA 94010-3225 2008-12-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366078115 Humangood Socal Clinic/Center 1151 S Redwood St, Escondido, CA 92025-5614 2020-03-12
1477192813 Wellness Recovery Retreat Center Clinic/Center 1562 Meridian Ave, San Jose, CA 95125-5319 2020-01-02
1548818636 Advent Healthcare Solutions, LLC Clinic/Center 255 W Fallbrook Ave Ste 102, Fresno, CA 93711-6151 2019-08-31
1770052748 The Kibbutz - Nature Serenity Renewal Clinic/Center 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 2018-11-19
1144795261 Divine Bliss, Inc. Clinic/Center 1219 Parnell Pl, Costa Mesa, CA 92626-2737 2018-10-04
1407346489 True North Detox LLC Clinic/Center 2121 Herndon Ave Ste 102, Clovis, CA 93611-6302 2018-05-15
1851898811 Sober First Recovery LLC Clinic/Center 3309 Clay St, Newport Beach, CA 92663-4208 2018-04-06
1306354634 Sea Change Santa Monica, Lp Clinic/Center 1051 Princeton St, Santa Monica, CA 90403 2018-01-22
1356860738 Destiny Recovery Center Iop Clinic/Center 23041 Avenida De La Carlota Ste 280, Laguna Hills, CA 92653-1531 2017-09-17
1073966370 New U Beginnings Inc Clinic/Center 5205 Agnes Ave, Valley Village, CA 91607-2701 2016-07-21
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Competitor

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City BURLINGAME
Zip Code 94010

Improve Information

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Dataset Information

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.

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