Peninsula Heights Diagnostic Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PENINSULA HEIGHTS DIAGNOSTIC LABORATORIES, INC.

Practice address

1720 El Camino Real Ste 110
Burlingame, CA 94010-3224

Phone

(408) 332-2748

NPI assigned

May 10, 2021

Last updated

Apr 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vichky Hoang

Title

Secretary

Phone

(925) 579-1579

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1639753270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL STE 110",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103211",
            "telephone_number": "650-977-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL STE 110",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103224",
            "telephone_number": "408-332-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA HEIGHTS DIAGNOSTIC LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "VICHKY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "925-579-1579"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Peng, NP-C
• Peninsula Allergy Associates, a Medical Group Inc.
• Peninsula Child and Family Therapy Inc
• Peninsula Dermatology Medical Group Inc
• Peninsula Endoscopy Center LLC (Mid Peninsula Endoscopy Center)
• Peninsula Hospitalist Associates, Inc.
• Peninsula Medical Group
• Peninsula Neurological Associates
• Peninsula Ophthalmology Group, Inc.
• Peninsula Pathologists Medical Group Inc.

• Clinical Medical Laboratory in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.