Peninsula Pediatric Med GRP Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PENINSULA PEDIATRIC MED GRP INC

Practice address

50 S San Mateo Dr
Suite #180
San Mateo, CA 94401-3857

Phone

(650) 342-4141

Fax

(650) 342-2070

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Albert R Kasuga, MDNPI 1922016971

Title

President

Phone

(650) 259-5050

Specialties & licenses 1

Addresses

Tax ID family

Peninsula Pediatric Med GRP Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peninsula Pediatric Med GRP Inc

  • Pediatrics Physician
  • Burlingame, CA
  • NPI 1578778197
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Albert Rikio Kasuga, M.D.

  • Pediatrics Physician
  • Burlingame, CA
  • NPI 1922016971
  Authorized official Same address or phone

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1790990307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "address_2": "SUITE #230",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103224",
            "telephone_number": "650-259-1545",
            "fax_number": "650-259-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR",
            "address_2": "SUITE #180",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013857",
            "telephone_number": "650-342-4141",
            "fax_number": "650-342-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA PEDIATRIC MED GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "KASUGA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-259-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Medical Associates
• Peninsula Nephrology, Inc. (San Mateo Dialysis Center)
• Peninsula Nephrology, Inc. (South San Francisco Dialysis Center)
• Peninsula OBGYN Integrative
• Peninsula Pediatric Dental Practice
• Peninsula Spine & Sports Rehab, a Rommel Hindocha Chiropractic Corp.
• Peninsula Spine Education &Treatment Center
• Peninsula Ultrasound, Mammography & Radiology Services Medical Group
• Peninsula Ultrasound, Mammography and Radiology Services Med Group Inc (Peninsula Diagnostic Imaging Inc)
• William Joseph Penrod, D.C.

• Pediatrics Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.