Active NPI
Connie Streifinger Kniveton, M.D.
- Pediatrics Physician
- San Mateo, CA
National Provider Identifier
1891075784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G69016
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G69016 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| After Hour Pediatrics Urgent Care Clinic, a Medical Corporation | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- San Mateo, CA
- NPI 1417009705
CA
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1518937051
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.