Peninsula Endoscopy Center LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

PENINSULA ENDOSCOPY CENTER LLC

Doing business as

Mid Peninsula Endoscopy Center

Practice address

50 S San Mateo Dr
Suite 400
San Mateo, CA 94401-3861

Phone

(650) 373-1970

NPI assigned

Mar 20, 2015

Organization subpart

No

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

Authorized official

Name

William D Davis

Title

Ceo

Phone

(916) 566-4770

Specialties & licenses 1

Addresses

Other names 1

• Mid Peninsula Endoscopy Center Doing business as

Tax ID family

Mid Peninsula Endoscopy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peninsula Endoscopy Center LLC

  dba Mid Peninsula Endoscopy Center

  • Endoscopy Clinic/Center
  • Burlingame, CA
  • NPI 1548583651
  NPD tax ID

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1649664301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR",
            "address_2": "SUITE 400",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013861",
            "telephone_number": "650-373-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR",
            "address_2": "SUITE 400",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013861",
            "telephone_number": "650-373-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-566-4770"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Peninsula Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naomi Pena
• Savannah Pena
• Maria Consuelo Pendse
• Sarah C Penegor, RN
• Peninsula Ambulatory Medical Services PC
• Peninsula Eye Physicians Medical Group,Inc.
• Peninsula Family YMCA
• Peninsula Foot & Ankle Center Corp
• Peninsula Gastrointestinal
• Peninsula Health Care District

• Endoscopy Clinic/Center in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Endoscopy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.