Peninsula Sleep Center Inc

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

PENINSULA SLEEP CENTER INC

Practice address

1720 El Camino Real
Suite 150
Burlingame, CA 94010-3224

Phone

(650) 697-7079

Fax

(650) 697-5845

NPI assigned

May 17, 2006

Last updated

May 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mehran Farid-Moayer, M.D.NPI 1184690984

Title

Ceo

Phone

(650) 696-2415

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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.

• Mehran Farid-Moayer, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Burlingame, CA
  • NPI 1184690984
  Medicare reassignment Care Compare group NPD Authorized official
• Grace Chou

  • Family Nurse Practitioner
  • Mountain View, CA
  • NPI 1992111272
  Medicare reassignment Care Compare group NPD
• Deepti Sinha, M.D., FRACP

  • Sleep Medicine (Internal Medicine) Physician
  • Burlingame, CA
  • NPI 1124213178
  Medicare reassignment Care Compare group NPD
• Amy Wolfe, R.N.P.

  • Primary Care Nurse Practitioner
  • East Palo Alto, CA
  • NPI 1952424533
  Medicare reassignment Care Compare group NPD
• Lawrence Alan Coskey, M.D.

  • Pulmonary Disease Physician
  • Burlingame, CA
  • NPI 1942276738
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1407808579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "address_2": "SUITE 150",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103224",
            "telephone_number": "650-696-2415",
            "fax_number": "650-696-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "address_2": "SUITE 150",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103224",
            "telephone_number": "650-697-7079",
            "fax_number": "650-697-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA SLEEP CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "FARID-MOAYER",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-696-2415",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Ophthalmology Group, Inc.
• Peninsula Pathologists Medical Group Inc.
• Peninsula Pediatric Med GRP Inc
• Peninsula Plastic Surgery Medical Group Inc
• Peninsula Professional Center Pharmacy
• Peninsula Surgical Specialist Medical Group, Inc (Surgical Associates of the Peninsula)
• Peninsula Surgical Specialist Medical Group, Inc. (Surgical Associates of the Peninsula A Medical Group, Inc.)
• Peninsula Wellness Psychological Corporation (Peninsula Wellness)
• Peninsula Womens Health
• Eric Perez, MD

• Sleep Medicine (Internal Medicine) Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Sleep Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.