PETER CHARLES SQUELLATI (NPI# 1629154026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629154026 |
| Entity Type | Individual |
| Full Name | PETER CHARLES SQUELLATI |
| Credential | D.P.M. |
| Practice Address |
1750 El Camino Real Suite 105 Burlingame CA 94010-3228 |
| Practice Telephone | 6503422420 |
| Practice Fax Number | 6503422391 |
| Mailing Telephone | 6503422420 |
| Mailing Fax Number | 6503422391 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2015-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E2272 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1750 EL CAMINO REAL SUITE 105 |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647824 | Robert Richard Elliston | Ophthalmology | 1750 El Camino Real, Ste 103, Burlingame, CA 94010-3210 | 2005-05-28 |
| 1447709746 | William D. Zigrang, Md | Internal Medicine | 1750 El Camino Real, 202, Burlingame, CA 94010-3228 | 2016-09-27 |
| 1205296431 | Dr. Xie, Inc. | Obstetrics & Gynecology | 1750 El Camino Real, Ste 305, Burlingame, CA 94010-3228 | 2016-03-01 |
| 1861833899 | Yun Ying Shi | Internal Medicine | 1750 El Camino Real, Suite 202, Burlingame, CA 94010-3228 | 2013-07-06 |
| 1891138301 | Burlingame Surgical Center Inc | Clinic/Center | 1750 El Camino Real, Burlingame, CA 94010-3228 | 2013-04-15 |
| 1245570266 | Maridez Valencia Brinas | Nurse Practitioner | 1750 El Camino Real, Suite 202, Burlingame, CA 94010 | 2013-02-28 |
| 1811228778 | F. Tortorice, M.d. Professional Corporation | Internal Medicine | 1750 El Camino Real, Suite 301, Burlingame, CA 94010-3228 | 2010-01-15 |
| 1871757906 | Anthony Russo, M.d., Inc. | Internal Medicine | 1750 El Camino Real, Suite 301, Burlingame, CA 94010-3228 | 2008-07-17 |
| 1922275288 | Haichun Xie | Obstetrics & Gynecology | 1750 El Camino Real, Ste 305, Burlingame, CA 94010-3228 | 2008-05-14 |
| 1518134139 | Mid-peninsula Urology Group | Specialist | 1750 El Camino Real, Suite 307, Burlingame, CA 94010-3228 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071850 | Jilla Lavian | Social Worker | 1240 Lakeview Drive, San Mateo, CA 94010 | 2020-07-23 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1184182248 | Primrose Healing and Wellness, Inc. | Marriage & Family Therapist | 405 Primrose Rd, #320, Burlingame, CA 94010 | 2019-03-07 |
| 1720508724 | Monazza Chaudhry | Pharmacist | 1828 El Camino Real #104, Burlingame, CA 94010 | 2017-06-21 |
| 1861804007 | Heidi Platt | Counselor | 826 Mahler Road, Burlingame, CA 94010 | 2014-05-22 |
| 1144662685 | Scarlett M Reyes | Counselor | 1818 Gilbreth Road, Suite 230, Womens Recovery Association, Burlingame, CA 94010 | 2013-07-25 |
| 1760821979 | Elliot Naidus | Internal Medicine | 1720 El Camino Real Ste 150, Burlingame, CA 94010 | 2013-06-20 |
| 1831430651 | Huddleston Care, LLC | In Home Supportive Care | 1364 Drake Avenue, Burlingame, CA 94010 | 2013-03-04 |
| 1891070843 | Linda Susan Notario | Pharmacist | 260 El Camino Raal, Burlingame, CA 94010 | 2011-10-20 |
| 1063794006 | Tram Anh Le | Pharmacist | 260 N El Camino Real, Burlingame, CA 94010 | 2011-09-15 |
| Find all providers in zip 94010 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578673638 | San Mateo Podiatry Group, A Professional Corporation | Podiatrist | 1750 El Camino Real Ste 106, Burlingame, CA 94010-3210 | 2006-08-30 |
| 1972723278 | Bill Jerry Metaxas | Podiatrist | 1750 El Camino Real Ste 106, Burlingame, CA 94010-3210 | 2007-04-27 |
| 1730282088 | Ellis Pizzi | Podiatrist | 1750 El Camino Real, Suite 105, Burlingame, CA 94010-3228 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGAME |
| Zip Code | 94010 |
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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.