PENINSULA GASTROINTESTINAL (NPI# 1306144209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306144209 |
| Entity Type | Organization |
| Organization Name | PENINSULA GASTROINTESTINAL |
| Practice Address |
100 S Ellsworth Ave Suite 507 San Mateo CA 94401-3939 |
| Practice Telephone | 6503427432 |
| Practice Fax Number | 6503423239 |
| Mailing Telephone | 6503427432 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2016-08-18 |
| Authorized Official Name | EDWARD K ONUMA (PRESIDENT) |
| Authorized Official Telephone | 6503427432 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
100 S ELLSWORTH AVE SUITE 507 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972558963 | Takeshi Okai | Chiropractor | 100 S Ellsworth Ave, Ste 804, San Mateo, CA 94401-3939 | 2006-05-24 |
| 1306293048 | Rebecca Forrest | Physician Assistant | 100 S Ellsworth Ave, Suite 806, San Mateo, CA 94401-3939 | 2016-05-23 |
| 1841634904 | Deborah Postal | Dentist | 100 S Ellsworth Ave, Suite 509, San Mateo, CA 94401-3939 | 2013-04-19 |
| 1740524602 | Yun - Chih Chen | Audiologist | 100 S Ellsworth Ave, Ste 711, San Mateo, CA 94401-3939 | 2012-11-16 |
| 1417220898 | Sylvie Galerneau | Dentist | 100 S Ellsworth Ave, Suite 601, San Mateo, CA 94401-3939 | 2012-02-16 |
| 1467720722 | Ear, Nose & Throat Medical Associates of The Peninsula, Inc | Otolaryngology | 100 S Ellsworth Ave, Suite 308, San Mateo, CA 94401-3939 | 2011-12-01 |
| 1588958672 | Ru Chen | Student in an Organized Health Care Education/Training Program | 100 S Ellsworth Ave, Suite 203, San Mateo, CA 94401-3939 | 2011-06-06 |
| 1336432376 | Julia Prieb | Orthotist | 100 S Ellsworth Ave, Suite 203, San Mateo, CA 94401-3939 | 2011-05-24 |
| 1427288133 | Steven Machtinger Md & Associates Inc | Allergy & Immunology | 100 S Ellsworth Ave, Suite 700, San Mateo, CA 94401-3939 | 2009-07-16 |
| 1821225038 | Mark Tsuei | Dentist | 100 S Ellsworth Ave, Suite 509, San Mateo, CA 94401-3939 | 2009-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184703217 | Robert Michael Wilkes | Internal Medicine | 205 De Anza Blvd, 131, San Mateo, CA 94402-3989 | 2006-11-02 |
| 1427054733 | Onuma and Lee Md's | Internal Medicine | 100 South Ellsworth Avenue, Suite 507, San Mateo, CA 94401-2708 | 2005-06-22 |
| 1780801001 | Michael Mainardi M.d. Inc. | Internal Medicine | 50 S San Mateo Dr, Suite 280, San Mateo, CA 94401-3857 | 2007-04-19 |
| 1447318829 | Stanley E. Rockman | Internal Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-12-05 |
| 1023196888 | Stanley Cheung-kit Hui | Internal Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-11-01 |
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| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1487252359 | Westside Gastroenterology and Hepatology | Internal Medicine | 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 | 2020-10-13 |
| 1548883622 | Martha Hierro, Md Inc | Internal Medicine | 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 | 2020-05-22 |
| 1922629542 | Dieta Inc. | Internal Medicine | 15 Locust Ave, Oak Park, CA 91377-1115 | 2020-05-05 |
| 1861020364 | Kelvin Yeh Md Inc | Internal Medicine | 1715 S Date Ave, Alhambra, CA 91803-2908 | 2020-03-30 |
| 1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.