Peninsula Specialty Care

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

33440 Issued in CA

Legal business name

PENINSULA SPECIALTY CARE

Practice address

562 Ralston Ave
Belmont, CA 94002

Phone

(650) 654-1854

Fax

(650) 596-8248

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Rahmat A Barkhordar

Title

Dentist

Phone

(650) 654-1854

Specialties & licenses 1

Addresses

Other names 1

• Rahmat A Barkhordar DMD Other name

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063575157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 RALSTON AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "94002",
            "telephone_number": "650-654-1854",
            "fax_number": "650-596-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 RALSTON AVE",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "94002",
            "telephone_number": "650-654-1854",
            "fax_number": "650-596-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA SPECIALTY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARKHORDAR",
        "authorized_official_first_name": "RAHMAT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "650-654-1854"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "33440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rahmat A Barkhordar DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John S. Parke, PSY.D.
• Dharmesh Patel, M.D.
• Patricia Kim
• Penguinsmart Inc.
• Peninsula Convalescent Associates LLC
• Peninsula Specialty Dental Care
• Ericka Elizabeth Perez, RAS
• Vincent S. Perez, MD
• Laura Petix, MS, OTR/L
• Jolly Philip

• Endodontics in Belmont, CA
• Providers in Belmont, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.