MILLS PENINSULA HEALTH SERVICES (NPI# 1154418093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154418093 |
| Entity Type | Organization |
| Organization Name | MILLS PENINSULA HEALTH SERVICES |
| Other Organization Name | BURLINGAME DYALISIS |
| 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 | 6506523051 |
| Mailing Telephone | 6506965400 |
| Mailing Fax Number | 6506523051 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-04-03 |
| Authorized Official Name | MR. ROBERT MERWIN (CEO) |
| Authorized Official Telephone | 6506965400 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILLS PENINSULA HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
053516 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDC03516F | 05 |
| Other Name | Type Code |
|---|---|
| Burlingame Dyalisis | Other Name - Individual/Organization |
| Street Address |
1720 EL CAMINO REAL |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010-3224 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 94010 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992095343 | Total Renal Care Inc | Clinic/Center | 1720 El Camino Real Ste 12, Burlingame, CA 94010-3225 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444765 | Kinter Dialysis, LLC | Clinic/Center | 1055 El Camino Real, Colma, CA 94014-3234 | 2020-10-16 |
| 1063010734 | Monad Dialysis, LLC | Clinic/Center | 5238 Manzanita Ave, Carmichael, CA 95608-0510 | 2020-10-14 |
| 1891305462 | Auberry's Home Hemo Dialysis | Clinic/Center | 8200 S Normandie Ave, Los Angeles, CA 90044-2336 | 2020-08-07 |
| 1376152645 | Navin Dialysis, LLC | Clinic/Center | 4314 E Jensen Ave, Fresno, CA 93706-9049 | 2020-07-23 |
| 1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
| 1659997112 | Arbela Dialysis LLC | Clinic/Center | 900 Huntington Dr Ste B, San Marino, CA 91108-1825 | 2020-06-22 |
| 1275158487 | Cudahy Peritoneal Dialysis Center | Clinic/Center | 4566 Florence Ave Ste 3, Cudahy, CA 90201-4346 | 2020-06-12 |
| 1659994903 | Bio Medical Applications of California Inc | Clinic/Center | 1287 N Hacienda Blvd, La Puente, CA 91744-1631 | 2020-05-21 |
| 1245853654 | Culbert Dialysis LLC | Clinic/Center | 4223 E Anaheim St, Long Beach, CA 90804-4202 | 2020-05-20 |
| 1790308179 | Palo Dialysis LLC | Clinic/Center | 10211 Long Beach Road, Lynwood, CA 90262-1508 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGAME |
| Zip Code | 94010 |
Please comment or provide details below to improve the information on MILLS PENINSULA HEALTH SERVICES.
| 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.