Peninsula Healthcare Connection, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PENINSULA HEALTHCARE CONNECTION, INC.

Practice address

33 Encina Ave
Palo Alto, CA 94301-2300

Phone

(650) 504-6565

Fax

(408) 320-4252

NPI assigned

Nov 24, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Elfreda Strydom

Title

Coo

Phone

(650) 504-6565

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Jordan Boddie-Russo, LCSW

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1588090286
  NPD
• Baldeep Singh Pabla, LCSW

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1649687104
  NPD
• Joanna Wishart, FNP

  • Family Nurse Practitioner
  • Fort Benning, GA
  • NPI 1073076220
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1033516828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ENCINA AVE",
            "address_2": "SUITE 103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012300",
            "telephone_number": "408-655-8187",
            "fax_number": "408-320-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ENCINA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012300",
            "telephone_number": "650-504-6565",
            "fax_number": "408-320-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA HEALTHCARE CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "STRYDOM",
        "authorized_official_first_name": "ELFREDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "650-504-6565",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Fu Peng, MD
• Peiying Peng
• Peninsula Behavioral Health, a Professional Psychological Corporation
• Peninsula Gastroenterology Medical Group
• Peninsula Head & Neck Surgery,Inc
• Peninsula Healthcare Connection, Inc.
• Peninsula Mental Health, Inc
• Peninsula Naturopathic Medicine
• Peninsula Optical Inc
• Neela Lakshmi Penumarthy, MD

• Case Management Agency in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.