PENINSULA BIOMEDICAL, INC. (NPI# 1376629998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376629998 |
| Entity Type | Organization |
| Organization Name | PENINSULA BIOMEDICAL, INC. |
| Other Organization Name | PENINSULA MEDICAL, INC. |
| Practice Address |
15 Camp Evers Ln Scotts Valley CA 95066-4128 |
| Practice Telephone | 8314309066 |
| Practice Fax Number | 8314309068 |
| Mailing Telephone | 8314309066 |
| Mailing Fax Number | 8314309068 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. AMANDA CRISWELL (INSURANCE BILLING MANAGER) |
| Authorized Official Telephone | 8314309066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
1196930001 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 29401372 | 05 | |
| WI | 82712600 | 05 | |
| WA | 9048612 | 05 | |
| VA | 9102475 | 05 | |
| MI | 4549517 | 05 | |
| OH | 2107491 | 05 |
| Other Name | Type Code |
|---|---|
| Peninsula Medical, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386795011 | Peninsula Biomedical, Inc. | Durable Medical Equipment & Medical Supplies | 108 Whispering Pines Dr, Suite 115, Scotts Valley, CA 95066-4792 | 2007-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PENINSULA BIOMEDICAL, INC. | 108 Whispering Pines Dr, Suite 115, Scotts Valley, CA 95066 |
| Street Address |
15 CAMP EVERS LN |
| City | SCOTTS VALLEY |
| State | CA |
| Zip Code | 95066-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861046377 | Nannette Benedict Dds Associates | Dentist | 5015 Scotts Valley Drive, Scotts Valley, CA 95066 | 2019-08-01 |
| 1457836314 | Erin Burton Josselyn | Social Worker | 125 Bethany Dr Ste 203, Scotts Valley, CA 95066 | 2018-09-26 |
| 1770010068 | Onesource Compounding Pharmacy | Pharmacy | 104 Whispering Pines Dr Ste 105, Scotts Valley, CA 95066 | 2017-05-17 |
| 1912393612 | Living Evolution: An Outdoor Experiential Learning Program Inc. | Nutritionist | 6001 Buttler Lane, Suite 206, Scotts Valley, CA 95066 | 2015-04-09 |
| 1750638375 | Denise Louise Quinn | Physical Therapist | 108 Whispering Pines Drive, Scotts Valley, CA 95066 | 2012-08-14 |
| 1194047100 | Kim Ann Chavez | Registered Nurse | 3650 Graham Hill Road, Juvenile Hall Nursing Unit, Santa Cruz, CA 95066 | 2010-02-17 |
| 1972755536 | Bethany University Counseling Center | Marriage & Family Therapist | 800 Bethany Drive, Scotts Valley, CA 95066 | 2008-10-15 |
| 1336343383 | Ali Eppy | Marriage & Family Therapist | 4113 Scotts Valley Drive, Suite 205, Scotts Valley, CA 95066 | 2007-06-13 |
| 1699825265 | Julie Carboni | Marriage & Family Therapist | 125 Bethany Drive Ste. N, Scotts Valley, CA 95066 | 2007-01-12 |
| 1902982143 | John A Stevens Dds Inc | Dentist | 221 H Mount Hermon Road, Scotts Valley, CA 95066 | 2006-10-31 |
| Find all providers in zip 95066 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548535123 | Ebrahimian & Ebrahimian Inc | Durable Medical Equipment & Medical Supplies | 5 Erba Ln Ste A, Scotts Valley, CA 95066-4160 | 2012-03-15 |
| 1386795011 | Peninsula Biomedical, Inc. | Durable Medical Equipment & Medical Supplies | 108 Whispering Pines Dr, Suite 115, Scotts Valley, CA 95066-4792 | 2007-01-16 |
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| Find all providers with the same taxonomy | ||||
| City | SCOTTS VALLEY |
| Zip Code | 95066 |
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| 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.