Peninsula Allergy Associates, a Medical Group Inc.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

PENINSULA ALLERGY ASSOCIATES, A MEDICAL GROUP INC.

Practice address

1828 El Camino Real
Suite 703
Burlingame, CA 94010-3103

Phone

(650) 692-1892

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Norton Cowan, M.D.

Title

President

Phone

(650) 692-1892

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1861567455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 EL CAMINO REAL",
            "address_2": "SUITE 703",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103103",
            "telephone_number": "650-692-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 EL CAMINO REAL",
            "address_2": "SUITE 703",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103103",
            "telephone_number": "650-692-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA ALLERGY ASSOCIATES, A MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NORTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-692-1892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "ZZZ71046Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Pavlova, RD
• Tom Peabody, PH.D.
• Pear Holdings, LLC
• Mark Newman Pederson, M.D.
• Jessie Peng, NP-C
• Peninsula Child and Family Therapy Inc
• Peninsula Dermatology Medical Group Inc
• Peninsula Endoscopy Center LLC
• Peninsula Heights Diagnostic Laboratories, Inc.
• Peninsula Hospitalist Associates, Inc.

• Allergy Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.