Peninsula Cardiovascular

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G52828 Issued in CA

Legal business name

PENINSULA CARDIOVASCULAR

Practice address

2490 Hospital Dr
Suite 212
Mountain View, CA 94040-4122

Phone

(650) 962-4460

Fax

(650) 962-4457

NPI assigned

Apr 12, 2013

Organization subpart

No

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

Authorized official

Name

Neal Scott, M.D., PH.D.

Title

Ceo

Phone

(650) 962-4460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1891138475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR",
            "address_2": "SUITE 212",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404122",
            "telephone_number": "650-962-4460",
            "fax_number": "650-962-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR",
            "address_2": "SUITE 212",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404122",
            "telephone_number": "650-962-4460",
            "fax_number": "650-962-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA CARDIOVASCULAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-962-4460",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G52828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holland Wrenn Pauselius
• Kaelah Rian Cual Pautin
• Samuel Nelson Pearl, M.D.
• Lourdes Pedraza, D.D.S.
• Marquise Peggs
• Peninsula Eye Surgery Center LLC
• Peninsula Gastroenterology Medical Group Inc
• Peninsula Laser Eye Medical Group, Inc
• Peninsula Laser Eye Optical
• Peninsula Wellness Centre

• Cardiovascular Disease Physician in Mountain View, CA
• Providers in Mountain View, 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 Jul 11, 2013; 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.