MILLS-PENINSULA HEALTH SERVICES (NPI# 1952547788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952547788 |
| Entity Type | Organization |
| Organization Name | MILLS-PENINSULA HEALTH SERVICES |
| Other Organization Name | MILLS-PENINSULA SENIOR FOCUS CENTER ADULT DAY HEALTH |
| Practice Address |
1720 El Camino Real Suite 10 Burlingame CA 94010-3225 |
| Mailing Address |
Po Box 60000 File 73688 San Francisco CA 94160-0001 |
| Practice Telephone | 6506963660 |
| Mailing Telephone | 6506523803 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |
| Authorized Official Name | ROBERT MERWIN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6506965270 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILLS-PENINSULA HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
070000551 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ADU70045F | 05 |
| Other Name | Type Code |
|---|---|
| Mills-Peninsula Senior Focus Center Adult Day Health | Doing Business As Name - 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 |
| 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 |
| 1598872004 | Mills-peninsula Health Services | Psychiatric Unit | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2006-08-23 |
| 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 |
1720 EL CAMINO REAL SUITE 10 |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486359 | Lisa A. Frey | Nurse Practitioner | 1720 El Camino Real, Suite 130, Burlingame, CA 94010-3224 | 2005-09-10 |
| 1922462431 | Sutter Bay Hospitals | Custodial Care Facility | 1720 El Camino Real, Suite 10, Burlingame, CA 94010-3224 | 2016-04-11 |
| 1801264874 | Lillian Nelson | Nurse Practitioner | 1720 El Camino Real, Burlingame, CA 94010-3224 | 2015-09-08 |
| 1164763231 | Anne Thai Md, A Professional Corporation | Internal Medicine | 1720 El Camino Real, Suite Number 155, Burlingame, CA 94010-3224 | 2013-03-14 |
| 1720352636 | Aaron M. Roland | Family Medicine | 1720 El Camino Real, 130, Burlingame, CA 94010-3224 | 2012-02-24 |
| 1861765901 | Victor Liu | Specialist | 1720 El Camino Real, Suite 200, Burlingame, CA 94010-3224 | 2012-02-21 |
| 1689942062 | Howard A Cohen Md, Inc | Specialist | 1720 El Camino Real, Ste 210, Burlingame, CA 94010-3224 | 2011-12-13 |
| 1902173388 | Peggy Zeng | Optometrist | 1720 El Camino Real, Suite 225, Burlingame, CA 94010-3224 | 2011-11-29 |
| 1548566177 | Aditi Chandra | Internal Medicine | 1720 El Camino Real, Ste 160, Burlingame, CA 94010-3224 | 2011-01-29 |
| 1548583651 | Peninsula Endoscopy Center LLC | Clinic/Center | 1720 El Camino Real, Suite 100, Burlingame, CA 94010-3224 | 2010-03-03 |
| 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 | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093862930 | Mills-peninsula Health Services | Clinic/Center | 1720 El Camino Real, Burlingame, CA 94010-3224 | 2007-01-04 |
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| 1548818636 | Advent Healthcare Solutions, LLC | Clinic/Center | 255 W Fallbrook Ave Ste 102, Fresno, CA 93711-6151 | 2019-08-31 |
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| 1144795261 | Divine Bliss, Inc. | Clinic/Center | 1219 Parnell Pl, Costa Mesa, CA 92626-2737 | 2018-10-04 |
| 1407346489 | True North Detox LLC | Clinic/Center | 2121 Herndon Ave Ste 102, Clovis, CA 93611-6302 | 2018-05-15 |
| 1851898811 | Sober First Recovery LLC | Clinic/Center | 3309 Clay St, Newport Beach, CA 92663-4208 | 2018-04-06 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1356860738 | Destiny Recovery Center Iop | Clinic/Center | 23041 Avenida De La Carlota Ste 280, Laguna Hills, CA 92653-1531 | 2017-09-17 |
| 1073966370 | New U Beginnings Inc | Clinic/Center | 5205 Agnes Ave, Valley Village, CA 91607-2701 | 2016-07-21 |
| 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.