Active NPI
Bo Peng Lear, MD, PHD
- Neurological Surgery Physician
- Palo Alto, CA
National Provider Identifier
1619650256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- PTL15375
- Practice address
- 500 Pasteur Dr
Palo Alto, CA 94304-1048 - Phone
- (240) 446-4425
- NPI assigned
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | PTL15375 | CA | Primary |
Addresses
Primary practice location
500 Pasteur Dr
Palo Alto, CA 94304-1048
Mailing address
500 Pasteur Dr
Palo Alto, CA 94304-1048
Phone (240) 446-4425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTL15375 | Other | CA | CALIFORNIA POSTGRADUATE TRAINING LICENSE NUMBER |
Other names 1
- Dr. Bo Peng
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL15375 | CA | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1619650256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PASTEUR DR",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041048",
"telephone_number": "240-446-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PASTEUR DR",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041048",
"telephone_number": "240-446-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAR",
"first_name": "BO",
"middle_name": "PENG",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "PTL15375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA POSTGRADUATE TRAINING LICENSE NUMBER",
"identifier": "PTL15375",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BO",
"last_name": "PENG",
"prefix": "DR.",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.