NPIMap

Organization Active NPI

Mills-Peninsula Health Services

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Burlingame, CA
National Provider Identifier
1093862930
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
MILLS-PENINSULA HEALTH SERVICES
Practice address
1720 El Camino Real
Burlingame, CA 94010-3224
Phone
(650) 696-5400
Fax
(650) 652-3052
NPI assigned
Jan 4, 2007
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
MILLS PENINSULA HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Mr. Robert Merwin
Title
Ceo
Phone
(650) 696-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

1720 El Camino Real
Burlingame, CA 94010-3224

Mailing address

PO Box 60000 File #73688
San Francisco, CA 94160-0001
Phone (650) 696-5400

Other identifiers 1

IdentifierTypeStateIssuer
ADU70045FMedicaidCA

Other names 1

  • Senior Focus Other name

National Provider Directory

National Provider Directory
Tax ID family
Peninsula Hospital Med4 organizations share this tax ID, including this one
Part of
Peninsula Hospital Med

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1093862930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60000 FILE #73688",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941600001",
            "telephone_number": "650-696-5400",
            "fax_number": "650-652-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103224",
            "telephone_number": "650-696-5400",
            "fax_number": "650-652-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS-PENINSULA HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLS PENINSULA HEALTH SERVICES",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "MERWIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-696-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70045F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Focus",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.