Peninsula Pulmonary

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PENINSULA PULMONARY

Practice address

901 Campus Dr
Ste 308
Daly City, CA 94015-4900

Phone

(650) 991-0600

Fax

(650) 991-0306

NPI assigned

Aug 19, 2006

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

Dr. Thomas Tiffin Bowstead, MDNPI 1801828181

Title

Senior Partner

Phone

(650) 991-0600

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Thomas Tiffan Bowstead, M.D.

  • Pulmonary Disease Physician
  • Daly City, CA
  • NPI 1801828181
  NPD Authorized official
• Irwin Shelub, M.D.

  • Pulmonary Disease Physician
  • Creston, CA
  • NPI 1104855246
  NPD
• Victoria Yakovlevna Zvonkina, M.D.

  • Specialist
  • San Francisco, CA
  • NPI 1922208172
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215041819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DR",
            "address_2": "STE 308",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154900",
            "telephone_number": "650-991-0600",
            "fax_number": "650-991-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DR",
            "address_2": "STE 308",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154900",
            "telephone_number": "650-991-0600",
            "fax_number": "650-991-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA PULMONARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOWSTEAD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "TIFFIN",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "650-991-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Peixotto
• Pem Comfort Care, LLC
• Peninsula Anesthesia Consultants Inc
• Peninsula Hand Therapy, Inc.
• Peninsula Orthopedic Associates, Inc.
• Jennifer Peralta, MT
• Joseph Perez Alvarez
• Norma Aracely Perez
• Florence Perlera
• Perpetua Madrilejo Dental Office Inc.

• Pulmonary Disease Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Pulmonary Disease 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.