Peninsula Gastrointestinal

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PENINSULA GASTROINTESTINAL

Practice address

100 S Ellsworth Ave
Suite 507
San Mateo, CA 94401-3939

Phone

(650) 342-7432

Fax

(650) 342-3239

NPI assigned

Mar 2, 2011

Organization subpart

No

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

Authorized official

Name

Edward K Onuma, MDNPI 1477559722

Title

President

Phone

(650) 342-7432

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Edward K Onuma, M.D.,PHD

  • Specialist
  • San Mateo, CA
  • NPI 1477559722
  Medicare reassignment Care Compare group NPD Authorized official
• Jin Guo, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Loma Linda, CA
  • NPI 1538375217
  Medicare reassignment Care Compare group NPD
• Eugene Young Lee, MD

  • Specialist
  • San Mateo, CA
  • NPI 1023049590
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1306144209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE",
            "address_2": "SUITE 507",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013939",
            "telephone_number": "650-342-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE",
            "address_2": "SUITE 507",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013939",
            "telephone_number": "650-342-7432",
            "fax_number": "650-342-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA GASTROINTESTINAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "ONUMA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-342-7432",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Ambulatory Medical Services PC
• Peninsula Endoscopy Center LLC
• Peninsula Eye Physicians Medical Group,Inc.
• Peninsula Family YMCA
• Peninsula Foot & Ankle Center Corp
• Peninsula Health Care District
• Peninsula Medical Associates
• Peninsula Nephrology, Inc.
• Peninsula Nephrology, Inc.
• Peninsula OBGYN Integrative

• Gastroenterology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.