San Francisco Peninsula Cardiovascular Medical GRP Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A26490 Issued in CA

Legal business name

SAN FRANCISCO PENINSULA CARDIOVASCULAR MEDICAL GRP INC

Practice address

1500 Southgate Ave
Suite 202
Daly City, CA 94015

Phone

(650) 991-3200

Fax

(650) 991-1153

NPI assigned

Nov 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colman Ryan, MDNPI 1699834713

Title

President

Phone

(650) 991-1085

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Colman Ryan, M.D.

  • Cardiovascular Disease Physician
  • Daly City, CA
  • NPI 1699834713
  Authorized official Same address or phone

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821160771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVE",
            "address_2": "SUITE 202",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-991-1085",
            "fax_number": "650-758-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVE",
            "address_2": "SUITE 202",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-991-3200",
            "fax_number": "650-991-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO PENINSULA CARDIOVASCULAR MEDICAL GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "COLMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-991-1085",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A26490",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C32329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75309Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Hansen Salisbury, RN
• Dania Salman
• Goldie Samera, RN
• Michael C. Samn, MD
• San Francisco Dermatopathology Institute Professional Corporation
• San Mateo County (North County Mental Health)
• San Mateo County Medical Center
• San Mateo County Medical Center
• San Mateo Medical Center
• San Mateo Medical Center

• Cardiovascular Disease Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Cardiovascular Disease Physician in California

• 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.

Verify at the official NPI Registry.