Organization Active NPI

Peak Health Medical Group of California PC

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1407738107
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PEAK HEALTH MEDICAL GROUP OF CALIFORNIA PC
Practice address
3388 17TH St
San Francisco, CA 94110-7201
Phone
(408) 203-7959
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Dr. Michael Ednie, MD, RD
Title
Ceo
Phone
(408) 203-7959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3388 17TH St
San Francisco, CA 94110-7201

Mailing address

810 Bear Gulch Rd
Woodside, CA 94062-4430
Phone (408) 203-7959

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1407738107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BEAR GULCH RD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940624430",
            "telephone_number": "408-203-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 17TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941107201",
            "telephone_number": "408-203-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK HEALTH MEDICAL GROUP OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "EDNIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-203-7959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, RD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.