ARCH STREET MEDICAL ASSOCIATES (NPI# 1396041208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396041208 |
| Entity Type | Organization |
| Organization Name | ARCH STREET MEDICAL ASSOCIATES |
| Other Organization Name | ARCH STREET MEDICAL ASSOCIATES, INC |
| Practice Address |
143 Birch Street Redwood City CA 94062 |
| Practice Telephone | 6503661141 |
| Practice Fax Number | 6503661265 |
| Mailing Telephone | 6503661141 |
| Mailing Fax Number | 6503661265 |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-11 |
| Authorized Official Name | DR. PETER J BULLUCK (CEO) |
| Authorized Official Telephone | 6503661141 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A31093 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Arch Street Medical Associates, Inc | Former Legal Business Name - Organization |
| Street Address |
143 BIRCH STREET |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051803 | Birch Clinic Corporation | Acupuncturist | 39b Birch St, Redwood City, CA 94062 | 2019-12-26 |
| 1376084459 | Sneha Kadkol | Physical Therapist | 2944 Broadway Street, Redwood City, CA 94062 | 2017-03-09 |
| 1376081166 | B. Annye Rothenberg | Psychologist | 3943 Jefferson Ave., Emerald Hills, CA 94062 | 2017-02-01 |
| 1922410406 | Sheree Campbell | Psychologist | 40a Corto Ln, Woodside, CA 94062 | 2014-06-02 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1386938264 | Julie Freschi | Physical Therapist | 3674 Sand Hill Rd, Woodside, CA 94062 | 2011-06-08 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1174843916 | Priyasheelta Nand | Internal Medicine | 2950 Whipple Avenue, Suite 3, Redwood City, CA 94062 | 2010-06-03 |
| 1215251152 | Norris B Finlayson | Pathology | 3820 Sand Hill Road, Woodside, CA 94062 | 2010-03-22 |
| Find all providers in zip 94062 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851957401 | Roman Gabriel Rubio | General Practice | 722 Esther Ln, Redwood City, CA 94062-2820 | 2019-05-18 |
| 1306286851 | Frederic H Moll | General Practice | 275 Shoreline Dr Ste 100, Redwood City, CA 94065-1412 | 2013-06-28 |
| 1467698423 | Richard Burnham Lanman | General Practice | 505 Penobscot Road, Redwood City, CA 94063 | 2008-12-22 |
| 1316019656 | Sophia Aparna Sohoni | General Practice | 1300 Hancock St, Redwood City, CA 94063-2809 | 2006-11-14 |
| 1235795881 | Harminder K Gill | General Practice | 802 Brewster Ave, Redwood City, CA 94063-1510 | 2019-05-18 |
| 1598179509 | Shannon Moore-langston | General Practice | 802 Brewster Ave, Redwood City, CA 94063-1510 | 2014-06-17 |
| 1396086526 | Provider Resources Group, Inc. | General Practice | 272 Upland Rd, Redwood City, CA 94062-2757 | 2013-03-13 |
| 1639451149 | Brian Thomas Mitchell | General Practice | 201 Arch St, Redwood City, CA 94062-1305 | 2011-09-12 |
| 1386853406 | Paul Gorman | General Practice | 570 El Camino Real, Suite 260, Redwood City, CA 94063-1200 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94062 |
Please comment or provide details below to improve the information on ARCH STREET MEDICAL ASSOCIATES.
| 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.