Mills Peninsula Health Services
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Burlingame, CA
NPI 1154418093 · NPPES record last updated Apr 3, 2008
Key facts
- NPI
- 1154418093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- 053516 (CA)
- Legal business name
- MILLS PENINSULA HEALTH SERVICES
- Practice address
- 1720 El Camino Real
Burlingame, CA 94010-3224 - Phone
- (650) 696-5400
- Fax
- (650) 652-3051
- NPI assigned
- Oct 10, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MILLS PENINSULA HEALTH SERVICES
Authorized official
- Name
- Mr. Robert Merwin
- Title
- Ceo
- Phone
- (650) 696-5400
Member of 1
National Provider Directory
- Part of
- Mills Peninsula Radiati
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 053516 | CA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDC03516F | Medicaid | CA |
Other names
- Burlingame Dyalisis
Other providers in Burlingame, CA
- Benjamin Lee Miller
- Douglas H Miller
- Hannah Ann Miller
- Scott Winfield Milliken
- Mills Peninsula Emergency Medical Associates Inc
- Mills-Peninsula Health Services
- Mills-Peninsula Health Services
- Mills-Peninsula Health Services
- Mills-Peninsula Health Services
- Mills-Peninsula Health Services
All providers in Burlingame, CA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.