Peninsula Services LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PENINSULA SERVICES LLC

Practice address

548 Market St # 954283
San Francisco, CA 94104-5401

Phone

(612) 807-6852

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Shukri Gaba Samatar

Title

President

Phone

(612) 807-6852

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1518641141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 LINCOLN ST APT 3",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504651",
            "telephone_number": "612-807-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 MARKET ST # 954283",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045401",
            "telephone_number": "612-807-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "SAMATAR",
        "authorized_official_first_name": "SHUKRI",
        "authorized_official_middle_name": "GABA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-807-6852"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy J. Peng, MD
• Vincent Peng, MD, PHD
• Yichih Peng, PHARM.D.
• Yinglu Peng, RD
• Machtel M Pengel, ASW
• Amy Elizabeth Penkin, LCSW
• Phatthana Penmongkhon
• Bennett Harris Penn, MD, PHD
• Derek Steven Penn, D.D.S.
• Jacqueline Penn, D.O..

• Non-emergency Medical Transport (VAN) in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.