DR. PETER RILL (NPI# 1649440496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649440496 |
| Entity Type | Individual |
| Full Name | DR. PETER RILL |
| Practice Address |
1125 Sir Francis Drake Blvd Kentfield CA 94904-1418 |
| Mailing Address |
Po Box 160 Sausalito CA 94966-0160 |
| Practice Telephone | 4154853200 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G41912 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | G41912 | 01 |
| Street Address |
1125 SIR FRANCIS DRAKE BLVD |
| City | KENTFIELD |
| State | CA |
| Zip Code | 94904-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255740 | Lael Conway Duncan | Internal Medicine | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2005-06-15 |
| 1508484783 | Francis C Marino | Respiratory Therapist, Registered | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2020-07-14 |
| 1366867954 | April Azucena Gonzalez | Physician Assistant | 1125 Sir Francis Drake Blvd, Suite A, Kentfield, CA 94904-1418 | 2014-02-19 |
| 1932469749 | Misco Medical Group Inc | Internal Medicine | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2012-05-25 |
| 1326365818 | Stefanie Maria Ghisletta | Physical Therapist | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2010-04-23 |
| 1497989008 | Bhawna Jain M.d.inc. | Internal Medicine | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2009-05-11 |
| 1740422427 | Knight Md Incorporated | Nuclear Medicine | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2009-03-27 |
| 1043410871 | Jamison Derek Feramisco | General Practice | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2007-07-19 |
| 1114144318 | Monica Sligh | Nurse Practitioner | 1125 Sir Francis Drake Blvd, Suite A, Kentfield, CA 94904-1418 | 2007-04-19 |
| 1912029190 | Bhawna Jain | Internal Medicine | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043410871 | Jamison Derek Feramisco | General Practice | 1125 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
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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.