MILLS-PENINSULA HEALTH SERVICES (NPI# 1598872004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598872004 |
| Entity Type | Organization |
| Organization Name | MILLS-PENINSULA HEALTH SERVICES |
| Other Organization Name | PENINSULA HOSPITAL |
| Practice Address |
1501 Trousdale Dr Burlingame CA 94010-4506 |
| Mailing Address |
Po Box 60000 File #73688 San Francisco CA 94160-0001 |
| Practice Telephone | 6506965400 |
| Practice Fax Number | 6506523052 |
| Mailing Telephone | 6506965400 |
| Mailing Fax Number | 6506523052 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | JOHN GATES (CFO SHBA) |
| Authorized Official Telephone | 5104507357 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILLS PENINSULA HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSM30007G | 05 |
| Other Name | Type Code |
|---|---|
| Peninsula Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891739298 | Mills-peninsula Health Services | Skilled Nursing Facility | 101 So San Mateo Dr, San Mateo, CA 94401-3805 | 2006-06-15 |
| 1952547788 | Mills-peninsula Health Services | Clinic/Center | 1720 El Camino Real, Suite 10, Burlingame, CA 94010-3225 | 2008-12-29 |
| 1386880102 | Mills-peninsula Health Services | General Acute Care Hospital | 570 Willow Rd, Menlo Park, CA 94025-2617 | 2008-12-29 |
| 1972749893 | Mills-peninsula Health Services | General Acute Care Hospital | 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 | 2008-12-23 |
| 1114192697 | Mills-peninsula Health Services | Skilled Nursing Facility | 1609 Trousdale Dr, Burlingame, CA 94010-4520 | 2008-04-25 |
| 1093862930 | Mills-peninsula Health Services | Clinic/Center | 1720 El Camino Real, Burlingame, CA 94010-3224 | 2007-01-04 |
| 1770527251 | Mills-peninsula Health Services | Rehabilitation Hospital | 100 S San Mateo Dr, San Mateo, CA 94401-3805 | 2006-06-15 |
| 1851335335 | Mills-peninsula Health Services | Clinic/Center | 100 S San Mateo Dr, San Mateo, CA 94401-3805 | 2006-06-15 |
| 1518937051 | Mills-peninsula Health Services | Clinical Medical Laboratory | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2006-01-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MILLS-PENINSULA HEALTH SERVICES | 1501 Trousdale Dr, Burlingame, CA 94010-4506 |
| Street Address |
1501 TROUSDALE DR |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906272 | Vino J Verghese | Internal Medicine | 1501 Trousdale Dr, 3rd Floor, Burlingame, CA 94010-4506 | 2005-07-19 |
| 1518525690 | Chia-yu Nancy Liu | Dietitian, Registered | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2019-06-03 |
| 1134683162 | Hung Ngai Hui | Pharmacist | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2019-01-23 |
| 1629549076 | Elizabeth Mary Medina | Nurse Practitioner | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-12-11 |
| 1518455062 | Jamie Christine Colgan | Occupational Therapist | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-04-30 |
| 1962901892 | Mae R Hynes | Dietitian, Registered | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-02-06 |
| 1104324151 | Jessica Sang Lee | Nurse Practitioner | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2018-01-24 |
| 1942715347 | Tanya Hower | Dietitian, Registered | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2017-12-06 |
| 1861918930 | Qia Zhang | Family Medicine | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2017-08-20 |
| 1417478652 | Ryan Hingorani | Family Medicine | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071850 | Jilla Lavian | Social Worker | 1240 Lakeview Drive, San Mateo, CA 94010 | 2020-07-23 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1184182248 | Primrose Healing and Wellness, Inc. | Marriage & Family Therapist | 405 Primrose Rd, #320, Burlingame, CA 94010 | 2019-03-07 |
| 1720508724 | Monazza Chaudhry | Pharmacist | 1828 El Camino Real #104, Burlingame, CA 94010 | 2017-06-21 |
| 1861804007 | Heidi Platt | Counselor | 826 Mahler Road, Burlingame, CA 94010 | 2014-05-22 |
| 1144662685 | Scarlett M Reyes | Counselor | 1818 Gilbreth Road, Suite 230, Womens Recovery Association, Burlingame, CA 94010 | 2013-07-25 |
| 1760821979 | Elliot Naidus | Internal Medicine | 1720 El Camino Real Ste 150, Burlingame, CA 94010 | 2013-06-20 |
| 1831430651 | Huddleston Care, LLC | In Home Supportive Care | 1364 Drake Avenue, Burlingame, CA 94010 | 2013-03-04 |
| 1891070843 | Linda Susan Notario | Pharmacist | 260 El Camino Raal, Burlingame, CA 94010 | 2011-10-20 |
| 1063794006 | Tram Anh Le | Pharmacist | 260 N El Camino Real, Burlingame, CA 94010 | 2011-09-15 |
| Find all providers in zip 94010 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807643 | Pacific Health Group Inc. | Psychiatric Unit | 9120 Woodman Ave, Arleta, CA 91331-6405 | 2020-06-26 |
| 1720627979 | Ernest Markovich | Psychiatric Unit | 3235 N Hartman St, Orange, CA 92865-1216 | 2020-01-04 |
| 1316416670 | Psychiatric Excellence | Psychiatric Unit | 388 Market St Ste 1300, San Francisco, CA 94111-5316 | 2018-11-16 |
| 1982192514 | Veronica E Martinez | Psychiatric Unit | 9481 Hanford St, Ventura, CA 93004-0704 | 2018-04-30 |
| 1679008817 | Ucla Semel Institute | Psychiatric Unit | 615 6th St, Davis, CA 95616-3807 | 2017-04-25 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1871045385 | Molina Psychological Consultants | Psychiatric Unit | 18 Monrovia, Irvine, CA 92602-0925 | 2016-10-31 |
| 1457808073 | Susan Mora | Psychiatric Unit | 1239 Powell St, Apt 2, San Francisco, CA 94133-4874 | 2016-09-01 |
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1477931673 | Nigthingale Nurses | Psychiatric Unit | 350 N Magnolia St, Woodlake, CA 93286-1320 | 2015-05-08 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGAME |
| Zip Code | 94010 |
Please comment or provide details below to improve the information on MILLS-PENINSULA HEALTH SERVICES.
| 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.