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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
G071603 | CA | Allopathic & Osteopathic Physicians |
Street Address |
100 S ELLSWORTH AVE SUITE 308 |
City | SAN MATEO |
State | CA |
Zip Code | 94401-3939 |
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 |
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 | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
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. |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on EAR, NOSE & THROAT MEDICAL ASSOCIATES OF THE PENINSULA, INC.
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.