Organization Active NPI

Soong Chapman and Beymer

  • Pediatrics Physician
  • San Mateo, CA
National Provider Identifier
1740276187
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SOONG CHAPMAN AND BEYMER
Practice address
50 S San Mateo Dr
Ste 260
San Mateo, CA 94401
Phone
(650) 579-6500
Fax
(650) 579-1943
NPI assigned
Sep 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Ms. Maureen A Kelly, MHA
Title
Group Practice Manager
Phone
(650) 579-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

50 S San Mateo Dr
Ste 260
San Mateo, CA 94401

Mailing address

50 S San Mateo Dr
Ste 260
San Mateo, CA 94401
Phone (650) 579-6500

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ00797ZOtherCABLUE SHIELD CA GROUP ID

Other names 1

  • ABC Pediatrics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1740276187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR",
            "address_2": "STE 260",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-579-6500",
            "fax_number": "650-579-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR",
            "address_2": "STE 260",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-579-6500",
            "fax_number": "650-579-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOONG CHAPMAN AND BEYMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GROUP PRACTICE MANAGER",
        "authorized_official_telephone_number": "650-579-6500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD  CA GROUP ID",
            "identifier": "ZZZ00797Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.