Mariner Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G48428 Issued in CA

Legal business name

MARINER MEDICAL CENTER

Practice address

1261 E Hillsdale Blvd
Ste 1
Foster City, CA 94404-1236

Phone

(650) 570-2299

Fax

(650) 570-5949

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Karen Sauermann

Title

Administrator

Phone

(650) 570-2299

Specialties & licenses 4

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan L. Ancker, MD

  • Family Medicine Physician
  • Aurora, CO
  • NPI 1649328717
  NPD (past)
• Edward Pena Perez, MD PHD

  • Dermatology Physician
  • San Marcos, TX
  • NPI 1881755650
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1932256294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E HILLSDALE BLVD",
            "address_2": "2ND FLOOR",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041241",
            "telephone_number": "650-570-2299",
            "fax_number": "650-570-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 E HILLSDALE BLVD",
            "address_2": "STE 1",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041236",
            "telephone_number": "650-570-2299",
            "fax_number": "650-570-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "SAUERMANN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-570-2299"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A83248",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48428",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80784",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G79688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khai P Ly, PHARM D.
• Rong Ming Lyu
• Carla Magallon
• Magiliw, Inc.
• Eric Manzano, PHARMD
• Mayra Martinez Reyes
• Mateva Health, Inc.
• Anne Mathew, BDS DDS
• David Michael Matoso, P.T.
• Clifton Matsuno, PT

• Family Medicine Physician in Foster City, CA
• Providers in Foster City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.