Active NPI
Peter Webb, M.D.
- Dermatology Physician
- San Mateo, CA
National Provider Identifier
1023030582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G35018
- Practice address
- 136 N San Mateo Dr FL 2
San Mateo, CA 94401-2778 - Phone
- (650) 348-1242
- Fax
- (650) 348-0788
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G35018 | CA | Primary |
Addresses
Primary practice location
136 N San Mateo Dr FL 2
San Mateo, CA 94401-2778
Mailing address
525 South Dr Ste 115
Mountain View, CA 94040-4211
Phone (650) 969-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942881809 | Other | CA | PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G35018 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1023030582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 SOUTH DR STE 115",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404211",
"telephone_number": "650-969-5600",
"fax_number": "650-969-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 N SAN MATEO DR FL 2",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944012778",
"telephone_number": "650-348-1242",
"fax_number": "650-348-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G35018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "942881809",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.