Peninsula Health Care District

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PENINSULA HEALTH CARE DISTRICT

Practice address

2600 S El Camino Real Ste 300
San Mateo, CA 94403-2381

Phone

(650) 226-7030

NPI assigned

May 2, 2024

Organization subpart

No

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

Authorized official

Name

Marc A Rappaport, LMFTNPI 1801956784

Title

Clinical Director

Phone

(650) 226-7030

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• allcove San Mateo Other name

Locations

Practitioners 1

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

• Marc A Rappaport, LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
  • NPI 1801956784
  NPD Authorized official

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1750138152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S EL CAMINO REAL STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032381",
            "telephone_number": "650-226-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S EL CAMINO REAL STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032381",
            "telephone_number": "650-226-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "650-226-7030",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1801956784",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1770242034",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1043891145",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1326771171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "allcove San Mateo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peninsula Endoscopy Center LLC
• Peninsula Eye Physicians Medical Group,Inc.
• Peninsula Family YMCA
• Peninsula Foot & Ankle Center Corp
• Peninsula Gastrointestinal
• Peninsula Medical Associates
• Peninsula Nephrology, Inc.
• Peninsula Nephrology, Inc.
• Peninsula OBGYN Integrative
• Peninsula Pediatric Dental Practice

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.