NPIMap

Peninsula Pulmonary

Organization Active NPI Pulmonary Disease Physician · Daly City, CA

NPI 1215041819 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1215041819
Entity type
Organization (NPI type 2)
Primary specialty
Pulmonary Disease Physician 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
Organization subpart
No

Authorized official

Name
Dr. Thomas Tiffin Bowstead, MD NPI 1801828181
Title
Senior Partner
Phone
(650) 991-0600

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

National Provider Directory

Locations

901 Campus Dr
Ste 306
Daly City, CA 94015
Phone (415) 991-0600

901 Campus Dr
Ste 308
Daly City, CA 94015
Phone (650) 991-0600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RP1001X CA Yes

Addresses

Primary practice location

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

Mailing address

901 Campus Dr
Ste 308
Daly City, CA 94015-4900
Phone (650) 991-0600

Other identifiers

IdentifierTypeStateIssuer
BBB12097BMedicaidCA

Other providers in Daly City, CA

All providers in Daly City, CA · Pulmonary Disease Physician in California

Sources for this page

Verify at the official NPI Registry.