MID PENINSULA EYE PHYSICIANS & SURGEONS MEDICAL GROUP (NPI# 1407924889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407924889 |
| Entity Type | Organization |
| Organization Name | MID PENINSULA EYE PHYSICIANS & SURGEONS MEDICAL GROUP |
| Other Organization Name | PACIFIC EYE SPECIALISTS |
| Practice Address |
50 S San Mateo Dr Suite 200 San Mateo CA 94401-3857 |
| Practice Telephone | 6503424595 |
| Practice Fax Number | 6503423932 |
| Mailing Telephone | 6503424595 |
| Mailing Fax Number | 6503423932 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-06-26 |
| Authorized Official Name | NATALIE KASUMOV (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6503424595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | TAX ID#========= | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PACIFIC EYE SPECIALISTS | Doing Business As Name - Organization |
| Street Address |
50 S SAN MATEO DR SUITE 200 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617136 | Alexander Moldanado | Family Medicine | 50 S San Mateo Dr, Suite 230, San Mateo, CA 94401-3857 | 2005-08-25 |
| 1649664301 | Peninsula Endoscopy Center LLC | Clinic/Center | 50 S San Mateo Dr, Suite 400, San Mateo, CA 94401-3861 | 2015-03-20 |
| 1518395169 | Hayley Skinner Brown | Nurse Practitioner | 50 S San Mateo Dr, Ste 230, San Mateo, CA 94401-3857 | 2013-10-17 |
| 1669748026 | Endocrinology, Metabolism and Clinical Nutrition Practice | Dietitian, Registered | 50 S San Mateo Dr, Suite 370, San Mateo, CA 94401-3857 | 2012-03-29 |
| 1881960797 | Endocrinology,metabolism,and Clinical Nutrition Practice | Dietitian, Registered | 50 S San Mateo Dr, Suite 370, San Mateo, CA 94401-3857 | 2012-03-25 |
| 1699067371 | California Anesthesia Network Nursing Services, PC | Anesthesiology | 50 S San Mateo Dr, Suite 400, San Mateo, CA 94401-3857 | 2011-05-12 |
| 1407148810 | California Anesthesia Network Services, PC | Anesthesiology | 50 S San Mateo Dr, Suite #400, San Mateo, CA 94401-3857 | 2011-05-04 |
| 1942523394 | Michael David Carson | Optometrist | 50 S San Mateo Dr, Suite 200, San Mateo, CA 94401-3857 | 2010-03-11 |
| 1720315161 | Bay Area Sports Clinic | Specialist | 50 S San Mateo Dr, Suite 470, San Mateo, CA 94401-3857 | 2009-11-05 |
| 1629209465 | Emily Yu, Md, Medical Corporation | Obstetrics & Gynecology | 50 S San Mateo Dr, Suite 420, San Mateo, CA 94401-3857 | 2009-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073096160 | A Sydney Williams and Associates Inc | Ophthalmology | 101 S San Mateo Dr Ste 306, San Mateo, CA 94401-3844 | 2018-09-13 |
| 1285904201 | Elise Goble | Ophthalmology | 2007 New Brunswick Dr, San Mateo, CA 94402-4012 | 2012-01-06 |
| 1912232224 | Anthony Liu | Ophthalmology | 101 S San Mateo Dr Ste 310, San Mateo, CA 94401-3844 | 2009-10-05 |
| 1396752812 | Beverly L Sarver | Ophthalmology | 101 South San Mateo Dr, Suite 310, San Mateo, CA 94401-3844 | 2006-08-01 |
| 1073528790 | Donna B Ornitz | Ophthalmology | 101 South San Mateo Drive, Suite 310, San Mateo, CA 94401-3844 | 2006-07-30 |
| 1629046131 | Tsontcho Alexandrov Ianchulev | Ophthalmology | 707 Oregon Ave, San Mateo, CA 94402-3305 | 2006-03-09 |
| 1528060308 | Jacqueline Koo | Ophthalmology | 101 S San Mateo Dr, Suite 310, San Mateo, CA 94401-3819 | 2005-08-11 |
| 1245500263 | John Lewis Goble | Ophthalmology | 2007 New Brunswick Dr, San Mateo, CA 94402-4012 | 2012-01-06 |
| 1831484526 | Pacific Center for Oculofacial and Aesthetic Plastic Surgery PC | Ophthalmology | 50 S San Mateo Drive, Suite 320, San Mateo, CA 94401-3861 | 2011-06-10 |
| 1700954278 | Bruce H Bern | Ophthalmology | 50 S San Mateo Dr, 200, San Mateo, CA 94401-3857 | 2006-12-01 |
| Find all providers in SAN MATEO | ||||
Please comment or provide details below to improve the information on MID PENINSULA EYE PHYSICIANS & SURGEONS MEDICAL GROUP.
| 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.