Organization Active NPI

After Hour Pediatrics Urgent Care Clinic, a Medical Corporation

Doing business as After Hour Pediatrics Urgent Care Clinic

  • Urgent Care Clinic/Center
  • San Mateo, CA
National Provider Identifier
1417009705
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
AFTER HOUR PEDIATRICS URGENT CARE CLINIC, A MEDICAL CORPORATION
Doing business as
After Hour Pediatrics Urgent Care Clinic
Practice address
210 Baldwin Ave
San Mateo, CA 94401-3915
Phone
(510) 579-6581
Fax
(650) 579-7851
NPI assigned
Jan 17, 2007
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Connie Streifinger Kniveton, MDNPI 1891075784
Title
Medical Director
Phone
(650) 579-6581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

210 Baldwin Ave
San Mateo, CA 94401-3915

Mailing address

210 Baldwin Ave
San Mateo, CA 94401-3915

Other names 1

  • After Hour Pediatrics Urgent Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210128000188 CA Part B Supplier - Clinic/Group Practice 6507270808 Receives reassigned benefits from 1 practitioner
Practice locations: San Mateo, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2050073After Hour Pediatrics Urgent Care CLNC, a Med Corp210 Baldwin Ave, San Mateo, CA 94401Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

Locations

210 Baldwin Ave
San Mateo, CA 94401
Phone (650) 219-8658

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1417009705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BALDWIN AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BALDWIN AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013915",
            "telephone_number": "510-579-6581",
            "fax_number": "650-579-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFTER HOUR PEDIATRICS URGENT CARE CLINIC, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "KNIVETON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "STREIFINGER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "650-579-6581",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "After Hour Pediatrics Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 26, 2021; 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.