Northern Peninsula Infectious Diseases Medical Group

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

NORTHERN PENINSULA INFECTIOUS DISEASES MEDICAL GROUP

Doing business as

NORTHERN PENINSULA INFECTIOUS DISEASES MEDICAL GROUP

Practice address

1501 Trousdale Dr
Department of Infection Control
Burlingame, CA 94010-4506

Phone

(650) 678-5079

Fax

(650) 696-7809

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Kim S Erlich, MDNPI 1447280813

Title

Owner

Phone

(650) 678-5079

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORTHERN PENINSULA INFECTIOUS DISEASES MEDICAL GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim S Erlich, M.D.

  • Infectious Disease Physician
  • Burlingame, CA
  • NPI 1447280813
  Medicare reassignment NPD Authorized official
• Mary C Brzostowicz, M.D.

  • Specialist
  • Daly City, CA
  • NPI 1487683819
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1619073780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WINWARD WAY STE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944042499",
            "telephone_number": "650-288-0597",
            "fax_number": "650-685-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 TROUSDALE DR",
            "address_2": "DEPARTMENT OF INFECTION CONTROL",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104506",
            "telephone_number": "650-678-5079",
            "fax_number": "650-696-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PENINSULA INFECTIOUS DISEASES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "ERLICH",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-678-5079",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0030800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHERN PENINSULA INFECTIOUS DISEASES MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Nicoloff, PA-C
• Ning Ning, M.D.
• Esi Wusiwa Nkyekyer, MD, MPH
• Michael Northcutt, M.D.
• Northern California Primary Care
• Linda Susan Notario, PHARM.D.
• Nouveau Ventures Inc
• Nowrx Inc
• Shion W O'Connor, PSYD
• Danielle O'Donovan, DPT

• Infectious Disease Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.