EAR, NOSE & THROAT MEDICAL ASSOCIATES OF THE PENINSULA, INC


Address: 100 S Ellsworth Ave, Suite 308, San Mateo, CA 94401-3939
Phone: 6503446896

EAR, NOSE & THROAT MEDICAL ASSOCIATES OF THE PENINSULA, INC (NPI# 1467720722) 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) 1467720722
Entity Type Organization
Organization Name EAR, NOSE & THROAT MEDICAL ASSOCIATES OF THE PENINSULA, INC
Practice Address 100 S Ellsworth Ave
Suite 308
San Mateo
CA 94401-3939
Mailing Address 322 Franklin St
San Mateo
CA 94402-2214
Practice Telephone 6503446896
Practice Fax Number 6503442794
Mailing Telephone 6503446896
Mailing Fax Number 6503442794
Enumeration Date 2011-12-01
Last Update Date 2012-01-05
Authorized Official Name DR. JENNIFER BOCK HUGHES (PRESIDENT)
Authorized Official Telephone 6503446896
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
G071603 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 100 S ELLSWORTH AVE
SUITE 308
City SAN MATEO
State CA
Zip Code 94401-3939

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972558963 Takeshi Okai Chiropractor 100 S Ellsworth Ave, Ste 804, San Mateo, CA 94401-3939 2006-05-24
1306293048 Rebecca Forrest Physician Assistant 100 S Ellsworth Ave, Suite 806, San Mateo, CA 94401-3939 2016-05-23
1841634904 Deborah Postal Dentist 100 S Ellsworth Ave, Suite 509, San Mateo, CA 94401-3939 2013-04-19
1740524602 Yun - Chih Chen Audiologist 100 S Ellsworth Ave, Ste 711, San Mateo, CA 94401-3939 2012-11-16
1417220898 Sylvie Galerneau Dentist 100 S Ellsworth Ave, Suite 601, San Mateo, CA 94401-3939 2012-02-16
1588958672 Ru Chen Student in an Organized Health Care Education/Training Program 100 S Ellsworth Ave, Suite 203, San Mateo, CA 94401-3939 2011-06-06
1336432376 Julia Prieb Orthotist 100 S Ellsworth Ave, Suite 203, San Mateo, CA 94401-3939 2011-05-24
1306144209 Peninsula Gastrointestinal Internal Medicine 100 S Ellsworth Ave, Suite 507, San Mateo, CA 94401-3939 2011-03-02
1427288133 Steven Machtinger Md & Associates Inc Allergy & Immunology 100 S Ellsworth Ave, Suite 700, San Mateo, CA 94401-3939 2009-07-16
1821225038 Mark Tsuei Dentist 100 S Ellsworth Ave, Suite 509, San Mateo, CA 94401-3939 2009-06-15
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207YX0905X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Otolaryngology/Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073159406 Bh Ent Group Inc Otolaryngology 9033 Wilshire Blvd Ste 409, Beverly Hills, CA 90211-1847 2019-11-20
1942719570 Beverly Hills Head and Neck Associates Otolaryngology 9401 Wilshire Blvd Ste 650, Beverly Hills, CA 90212-2913 2017-09-27
1083135065 Jeffrey Jumaily Md Inc Otolaryngology 8816 Burton Way # 1, Beverly Hills, CA 90211-1715 2017-06-29
1558881771 Bel Air Surgical Institute Otolaryngology 11847 Wilshire Blvd Ste 302, Los Angeles, CA 90025-6634 2017-06-20
1912371352 Ent Surgical Specialists Inc. Otolaryngology 6424 W Olympic Blvd, Los Angeles, CA 90048-5347 2015-11-23
1437536216 Kiersten L. Riedler Otolaryngology 5405 Oberlin Dr Fl 2, San Diego, CA 92121-1700 2015-04-30
1114344025 Ryan M Casserly Otolaryngology 966 Cass St Ste 250, Monterey, CA 93940-4541 2014-03-28
1558798611 Stephen Dow Proffitt Otolaryngology 172 Admiral Way, Costa Mesa, CA 92627-1397 2013-10-03
1447693973 Jacob Lee Wester Otolaryngology 200 Medical Plaza Driveway Ste 550, Ucla Department of Head and Neck Surgery, Los Angeles, CA 90095-0001 2013-04-15
1417294174 Entegrative Otolaryngology PC Otolaryngology 1144 Sonoma Ave Ste 101, Santa Rosa, CA 95405-4812 2013-01-14
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Competitor

Search similar providers

City SAN MATEO
Zip Code 94401

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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