PENINSULA ENDOSCOPY CENTER LLC (NPI# 1649664301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649664301 |
| Entity Type | Organization |
| Organization Name | PENINSULA ENDOSCOPY CENTER LLC |
| Other Organization Name | MID PENINSULA ENDOSCOPY CENTER |
| Practice Address |
50 S San Mateo Dr Suite 400 San Mateo CA 94401-3861 |
| Practice Telephone | 6503731970 |
| Mailing Telephone | 6503731970 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |
| Authorized Official Name | WILLIAM D DAVIS (CEO) |
| Authorized Official Telephone | 9165664770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mid Peninsula Endoscopy Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548583651 | Peninsula Endoscopy Center LLC | Clinic/Center | 1720 El Camino Real, Suite 100, Burlingame, CA 94010-3224 | 2010-03-03 |
| Street Address |
50 S SAN MATEO DR SUITE 400 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3861 |
| 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 |
| 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 |
| 1295974202 | Maryam Arjomand, Md, Inc | Obstetrics & Gynecology | 50 S San Mateo Dr, 420, San Mateo, CA 94401-3857 | 2009-02-13 |
| 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 | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
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| 1316231020 | Desert View Endoscopy Center, LLC. | Clinic/Center | 12595 Hesperia Rd, Suite 100, Victorville, CA 92395-5882 | 2011-05-31 |
| 1174715445 | Digestive Health Center of Thousand Oaks, LLC | Clinic/Center | 3510 N Moorpark Rd Ste 101, Thousand Oaks, CA 91360-2688 | 2007-08-10 |
| 1619181765 | Lee & Bae Gi Medical Corporation | Clinic/Center | 3200 Wilshire Blvd Ste 101, Los Angeles, CA 90010-1307 | 2007-05-09 |
| 1336292853 | University of California, San Francisco | Clinic/Center | 400 Parnassus Ave, A-655, San Francisco, CA 94143-0338 | 2007-01-19 |
| 1912069832 | Endoscopy Services, Inc | Clinic/Center | 700 Garden View Ct Ste 101, Encinitas, CA 92024-2478 | 2006-12-15 |
| 1457449498 | Augusto Rojas M.d, Inc | Clinic/Center | 11961 Venice Blvd, Los Angeles, CA 90066-3905 | 2006-10-11 |
| 1336247642 | Pasadena Endoscopy Center Inc | Clinic/Center | 55 W Valley St, Pasadena, CA 91105-2015 | 2006-09-20 |
| 1821019738 | Santa Barbara Endoscopy Center LLC | Clinic/Center | 25 W Micheltorena St, Santa Barbara, CA 93101-2509 | 2006-07-23 |
| 1497788145 | Endoscopy Center of Southern California | Clinic/Center | 2336 Santa Monica Blvd Ste 376, Santa Monica, CA 90404-2095 | 2006-07-08 |
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| 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.