NPIMap

Organization Active NPI

Peninsula Pulmonary Medical Associates

  • Pulmonary Disease Physician
  • Torrance, CA
National Provider Identifier
1316971351
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PENINSULA PULMONARY MEDICAL ASSOCIATES
Practice address
3701 Skypark Dr
#200
Torrance, CA 90505-4753
Phone
(310) 378-8900
Fax
(310) 791-0786
NPI assigned
Jul 10, 2006
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Brian Keith Wong, MDNPI 1316926488
Title
Partner
Phone
(310) 378-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Pulmonary Disease Physician 207RP1001X Primary
Hospitalist Physician 208M00000X
Sleep Medicine (Internal Medicine) Physician 207RS0012X

Addresses

Primary practice location

3701 Skypark Dr
#200
Torrance, CA 90505-4753

Mailing address

3701 Skypark Dr
#200
Torrance, CA 90505-4753
Phone (310) 378-8900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1316971351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 SKYPARK DR",
            "address_2": "#200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054753",
            "telephone_number": "310-378-8900",
            "fax_number": "310-791-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 SKYPARK DR",
            "address_2": "#200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054753",
            "telephone_number": "310-378-8900",
            "fax_number": "310-791-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA PULMONARY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-378-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.