Peninsula Neurological Associates

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

PENINSULA NEUROLOGICAL ASSOCIATES

Practice address

1750 El Camino Real
Suite 106
Burlingame, CA 94010

Phone

(650) 697-6632

Fax

(650) 697-9370

NPI assigned

Mar 20, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael S Cohen, MDNPI 1831266873

Title

President

Phone

(650) 697-6632

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Stephen Cohen, MD

  • Neurology Physician
  • Burlingame, CA
  • NPI 1831266873
  Authorized official Same address or phone
• Lawrence Yongshik Kim, M.D.

  • Neurology Physician
  • Burlingame, CA
  • NPI 1598828345
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043335227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVENUE",
            "address_2": "SUITE 602",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-755-2455",
            "fax_number": "650-755-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "address_2": "SUITE 106",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "94010",
            "telephone_number": "650-697-6632",
            "fax_number": "650-697-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA NEUROLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-697-6632",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Dermatology Medical Group Inc
• Peninsula Endoscopy Center LLC (Mid Peninsula Endoscopy Center)
• Peninsula Heights Diagnostic Laboratories, Inc.
• Peninsula Hospitalist Associates, Inc.
• Peninsula Medical Group
• Peninsula Ophthalmology Group, Inc.
• Peninsula Pathologists Medical Group Inc.
• Peninsula Pediatric Med GRP Inc
• Peninsula Plastic Surgery Medical Group Inc
• Peninsula Professional Center Pharmacy

• Neurology Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.