Active NPI
Foster City Pediatric Medical Group Inc
- Pediatrics Physician
- Foster City, CA
National Provider Identifier
1720179799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- FOSTER CITY PEDIATRIC MEDICAL GROUP INC
- Practice address
- 1295 E Hillsdale Blvd
Foster City, CA 94404 - Phone
- (650) 574-2774
- Fax
- (650) 341-9236
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Subha Aahlad, MD
- Title
- Partner Ceo
- Phone
- (650) 574-2774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | CA | Primary |
Addresses
Primary practice location
1295 E Hillsdale Blvd
Foster City, CA 94404
Mailing address
1295 E Hillsdale Blvd
Foster City, CA 94404
Phone (650) 574-2774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0080460 | Other | CA | MEDI-CAL |
| ZZZ17671Z | Other | CA | BLUE SHIELD OF CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720179799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 E HILLSDALE BLVD",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "94404",
"telephone_number": "650-574-2774",
"fax_number": "650-341-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 E HILLSDALE BLVD",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "94404",
"telephone_number": "650-574-2774",
"fax_number": "650-341-9236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOSTER CITY PEDIATRIC MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AAHLAD",
"authorized_official_first_name": "SUBHA",
"authorized_official_title_or_position": "PARTNER CEO",
"authorized_official_telephone_number": "650-574-2774",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "GR0080460",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZ17671Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Foster City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.