Midpeninsula Surgical Associates Medical Group

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

MIDPENINSULA SURGICAL ASSOCIATES MEDICAL GROUP

Practice address

2204 Grant Rd
Ste 203
Mountain View, CA 94040-3877

Phone

(650) 964-0600

Fax

(650) 964-0991

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Saul Eisenstat, MDNPI 1962464776

Title

President

Phone

(650) 964-0600

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Saul Eisenstat, MD

  • Surgery Physician
  • Mountain View, CA
  • NPI 1962464776
  NPD (past) Authorized official
• Peter Laimons Naruns, MD

  • Surgery Physician
  • Mountain View, CA
  • NPI 1689636680
  NPD (past)
• Shyamali Mallick Singhal, MD

  • Surgery Physician
  • Mountain View, CA
  • NPI 1992769939
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1164484150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD",
            "address_2": "STE 203",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403877",
            "telephone_number": "650-964-0600",
            "fax_number": "650-964-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD",
            "address_2": "STE 203",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403877",
            "telephone_number": "650-964-0600",
            "fax_number": "650-964-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDPENINSULA SURGICAL ASSOCIATES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "EISENSTAT",
        "authorized_official_first_name": "SAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-964-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ19414Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0048611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson Miao, DPT
• Michael J Fong, DDS, Inc
• Michelle E Pezzani, MD, a Medical Corporation
• Angela M. Mickelis, PHD
• Midori Nishimura M D Ibclc Family Medicine and Lactation Inc
• Linda Melodee Mieses, PA C
• Anetta Kalk Migdal, LMFT
• Estanislao Antonio Mikalonis, MFT
• Melinda Rebecca Miles
• Olivia Mill, PT, DPT

• Surgical Oncology Physician in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Surgical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.