Organization Active NPI

Peace of Mind Direct

  • Nursing Facility Supplies (DME)
  • San Mateo, CA
National Provider Identifier
1356580419
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
License
101194103 Issued in CA
Legal business name
PEACE OF MIND DIRECT
Practice address
1206 W Hillsdale Blvd
Suite D
San Mateo, CA 94403-3197
Phone
(650) 520-7854
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Mr. Shaun Arceneaux
Title
Owner
Phone
(650) 520-7854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X 101194103 CA Primary

Addresses

Primary practice location

1206 W Hillsdale Blvd
Suite D
San Mateo, CA 94403-3197

Mailing address

1206 W Hillsdale Blvd Ste D
San Mateo, CA 94403-3127
Phone (650) 520-7854

National Provider Directory

National Provider Directory

Locations

1206 W Hillsdale Blvd
Ste D
San Mateo, CA 94403
Phone (650) 520-7854

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1356580419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W HILLSDALE BLVD STE D",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033127",
            "telephone_number": "650-520-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W HILLSDALE BLVD",
            "address_2": "SUITE D",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033197",
            "telephone_number": "650-520-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND DIRECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "ARCENEAUX",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-520-7854",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "CA",
            "license": "101194103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.