Ear, Nose & Throat Medical Associates of the Peninsula, Inc

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

G071603 Issued in CA

Legal business name

EAR, NOSE & THROAT MEDICAL ASSOCIATES OF THE PENINSULA, INC

Practice address

100 S Ellsworth Ave
Suite 308
San Mateo, CA 94401-3939

Phone

(650) 344-6896

Fax

(650) 344-2794

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Bock Hughes, M.D.

Title

President

Phone

(650) 344-6896

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1467720722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 FRANKLIN ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022214",
            "telephone_number": "650-344-6896",
            "fax_number": "650-344-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE",
            "address_2": "SUITE 308",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013939",
            "telephone_number": "650-344-6896",
            "fax_number": "650-344-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT MEDICAL ASSOCIATES OF THE PENINSULA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "BOCK HUGHES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-344-6896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "G071603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikas Duvvuri, M.D., PH.D.
• Pritty Madhu Dwivedy, DO
• Diane C Dworkin
• Dyshun Beshears
• Lamia Eap, FNP
• Ear, Nose and Throat Associates of San Mateo County Inc
• Eartone Hearing Aid Center Inc.
• Marlon Eugenio Echaverry, MD
• Maria Lucila Echeverria-Bustios, MFT I
• Mitchell Eckstein, LCSW

• Otolaryngology/Facial Plastic Surgery Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.