NPIMap

Organization Active NPI

Premise Health of California Medical PC

Doing business as PG&E San Carlos

  • Multi-Specialty Clinic/Center
  • San Carlos, CA
National Provider Identifier
1750044210
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PREMISE HEALTH OF CALIFORNIA MEDICAL PC
Doing business as
PG&E San Carlos
Practice address
275 Industrial Rd RM 103104
San Carlos, CA 94070-6211
Phone
(650) 598-7227
Fax
(650) 598-7226
NPI assigned
Oct 20, 2021
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Edward William Schwartz
Title
President
Phone
(844) 407-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

275 Industrial Rd RM 103104
San Carlos, CA 94070-6211

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Other names 1

  • PG&E San Carlos Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2254900PG&E Health Center San Carlos275 Industrial Road Room 150 C, San Carlos, CA 94070Certificate of waiverMar 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Premise Health of California Medical PC56 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

275 Industrial Rd
Rm 103104
San Carlos, CA 94070
Phone (650) 598-7227

275 Industrial Rd
Rm 104
San Carlos, CA 94070

275 Industrial Rd
Rm 150C
San Carlos, CA 94070

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1750044210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 INDUSTRIAL RD RM 103104",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706211",
            "telephone_number": "650-598-7227",
            "fax_number": "650-598-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF CALIFORNIA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-407-7557"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PG&E San Carlos",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PG&E San Carlos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.