Peninsula Integrative Cardiology, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PENINSULA INTEGRATIVE CARDIOLOGY, PC

Practice address

2303 Camino Ramon Ste 208
San Ramon, CA 94583-1392

Phone

(650) 447-6213

Fax

(866) 406-6047

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Daniel Rieders, M.D.

Title

President

Phone

(650) 447-6213

Specialties & licenses 2

Addresses

Other names 1

• Peninsuila Integrative Cardiology Other name

Locations

Practitioners 1

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

• Charles E Wood, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1235193400
  NPD (past)

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1265608608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 CAMINO RAMON STE 208",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831392",
            "telephone_number": "650-447-6213",
            "fax_number": "866-406-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 CAMINO RAMON STE 208",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831392",
            "telephone_number": "650-447-6213",
            "fax_number": "866-406-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 SW 17th St",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344718141",
            "country_code": "US",
            "telephone_number": "352-620-2036",
            "fax_number": "352-620-2038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENINSULA INTEGRATIVE CARDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "RIEDERS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-447-6213",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME93695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsuila Integrative Cardiology",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Peninsuila Integrative Cardiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anahi Pelayo
• Joann Pelayo
• Dorina Pellegrini
• Daniela Pena
• Nika Peng
• Kimberly Liotta Perales, D.C.
• Alyssa Peralta
• Hillary Bassett Pereira, M.D.
• Alexis I Perez
• Cie Perez

• Cardiovascular Disease Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.