Mid-Peninsula Orthopedic Medical Group, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G84190 Issued in CA

Legal business name

MID-PENINSULA ORTHOPEDIC MEDICAL GROUP, INC

Practice address

50 S San Mateo Dr Ste 470
San Mateo, CA 94401-3833

Phone

(650) 348-5400

Fax

(650) 348-4172

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philip Bernstein, M.D.

Title

President

Phone

(650) 348-5400

Specialties & licenses 2

Addresses

Practitioners 1

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

• Alberto Antonio Bolanos, M.D.

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
  • NPI 1467548008
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1700939642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR STE 470",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013833",
            "telephone_number": "650-348-5400",
            "fax_number": "650-348-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR STE 470",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013833",
            "telephone_number": "650-348-5400",
            "fax_number": "650-348-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-PENINSULA ORTHOPEDIC MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-348-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G84190",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G143360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Mainardi M.D. Inc.
• Daniel J. Michalske
• David J Michel
• Lorena Michel, PSY.D.
• Mid Peninsula Eye Physicians & Surgeons Medical Group
• Mid-Peninsula Orthopedic Medical Group, Inc.
• Midori Tachibana DDS Inc
• Miguel Deleon DMD Inc
• Carmina Miguel
• Jmyah R Miles

• Orthopaedic Surgery Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.