Individual provider Active NPI

Connie Streifinger Kniveton, M.D.

  • Pediatrics Physician
  • San Mateo, CA
National Provider Identifier
1891075784
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G69016 Issued in CA
Practice address
210 Baldwin Ave
San Mateo, CA 94401-3915
Phone
(650) 579-6581
Fax
(650) 579-7851
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G69016 CA Primary

Addresses

Primary practice location

210 Baldwin Ave
San Mateo, CA 94401-3915

Mailing address

210 Baldwin Ave
San Mateo, CA 94401-3915
Phone (650) 579-6581

Other names 1

  • Dr. Connie Marlene Streifinger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128000221 CA Practitioner - Pediatric Medicine 7315351616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G69016CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
After Hour Pediatrics Urgent Care Clinic, a Medical Corporation CurrentSince Jan 1, 2021 Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients

Locations

210 Baldwin Ave
San Mateo, CA 94401
Phone (650) 219-8658

Interoperability endpoints

  • Direct secure messaging: afterhourspediatricsurgentcare.conniekniveton@129385.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1891075784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BALDWIN AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013915",
            "telephone_number": "650-579-6581",
            "fax_number": "650-579-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BALDWIN AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013915",
            "telephone_number": "650-579-6581",
            "fax_number": "650-579-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIVETON",
        "first_name": "CONNIE",
        "middle_name": "STREIFINGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G69016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "STREIFINGER",
            "middle_name": "MARLENE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.