NPIMap

Organization Active NPI

Mills-Peninsula Health Services

Doing business as Mills-Peninsula Senior Focus Center Adult Day Health

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Burlingame, CA
National Provider Identifier
1952547788
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
070000551 Issued in CA
Legal business name
MILLS-PENINSULA HEALTH SERVICES
Doing business as
Mills-Peninsula Senior Focus Center Adult Day Health
Practice address
1720 El Camino Real
Suite 10
Burlingame, CA 94010-3225
Phone
(650) 696-3660
NPI assigned
Dec 29, 2008
Last updated
Dec 29, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MILLS-PENINSULA HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Robert Merwin
Title
Chief Executive Officer
Phone
(650) 696-5270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 070000551 CA Primary

Addresses

Primary practice location

1720 El Camino Real
Suite 10
Burlingame, CA 94010-3225

Mailing address

PO Box 60000
File 73688
San Francisco, CA 94160-0001
Phone (650) 652-3803

Other identifiers 1

IdentifierTypeStateIssuer
ADU70045FMedicaidCA

Other names 1

  • Mills-Peninsula Senior Focus Center Adult Day Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peninsula Hospital Med4 organizations share this tax ID, including this one
Part of
Peninsula Hospital Med

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1720 El Camino Real
Ste 10
Burlingame, CA 94010
Phone (650) 696-3660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1952547788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60000",
            "address_2": "FILE 73688",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941600001",
            "telephone_number": "650-652-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "address_2": "SUITE 10",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103225",
            "telephone_number": "650-696-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS-PENINSULA HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLS-PENINSULA HEALTH SERVICES",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "MERWIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "650-696-5270"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "070000551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70045F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills-Peninsula Senior Focus Center Adult Day Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.