SAN MATEO ENDOSCOPY CENTER (NPI# 1689634891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689634891 |
| Entity Type | Organization |
| Organization Name | SAN MATEO ENDOSCOPY CENTER |
| Other Organization Name | MID PENINSULA ENDOSCOPY CENTER |
| Practice Address |
50 S San Mateo Dr # 400 San Mateo CA 94401-3857 |
| Mailing Address |
50 S. San Mateo Dr. # 400 San Mateo CA 94401-3861 |
| Practice Telephone | 6505797082 |
| Practice Fax Number | 6505797743 |
| Mailing Telephone | 6505797082 |
| Mailing Fax Number | 6505797743 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL MAINARDI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6503409977 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CIGNA ID | 4422407 | 01 |
| CA | SUR01370F | 05 | |
| CA | BLUE CROSS ID | 051370 | 01 |
| Other Name | Type Code |
|---|---|
| Mid Peninsula Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
50 S SAN MATEO DR # 400 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617136 | Alexander Moldanado | Family Medicine | 50 S San Mateo Dr, Suite 230, San Mateo, CA 94401-3857 | 2005-08-25 |
| 1649664301 | Peninsula Endoscopy Center LLC | Clinic/Center | 50 S San Mateo Dr, Suite 400, San Mateo, CA 94401-3861 | 2015-03-20 |
| 1518395169 | Hayley Skinner Brown | Nurse Practitioner | 50 S San Mateo Dr, Ste 230, San Mateo, CA 94401-3857 | 2013-10-17 |
| 1669748026 | Endocrinology, Metabolism and Clinical Nutrition Practice | Dietitian, Registered | 50 S San Mateo Dr, Suite 370, San Mateo, CA 94401-3857 | 2012-03-29 |
| 1881960797 | Endocrinology,metabolism,and Clinical Nutrition Practice | Dietitian, Registered | 50 S San Mateo Dr, Suite 370, San Mateo, CA 94401-3857 | 2012-03-25 |
| 1699067371 | California Anesthesia Network Nursing Services, PC | Anesthesiology | 50 S San Mateo Dr, Suite 400, San Mateo, CA 94401-3857 | 2011-05-12 |
| 1407148810 | California Anesthesia Network Services, PC | Anesthesiology | 50 S San Mateo Dr, Suite #400, San Mateo, CA 94401-3857 | 2011-05-04 |
| 1942523394 | Michael David Carson | Optometrist | 50 S San Mateo Dr, Suite 200, San Mateo, CA 94401-3857 | 2010-03-11 |
| 1720315161 | Bay Area Sports Clinic | Specialist | 50 S San Mateo Dr, Suite 470, San Mateo, CA 94401-3857 | 2009-11-05 |
| 1629209465 | Emily Yu, Md, Medical Corporation | Obstetrics & Gynecology | 50 S San Mateo Dr, Suite 420, San Mateo, CA 94401-3857 | 2009-07-28 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386092542 | Eds Center, Lp | Clinic/Center | 316 S Eldorado St, Suite 110, San Mateo, CA 94401-3330 | 2016-05-28 |
| 1366861080 | Bovet Surgery Center, LLC. | Clinic/Center | 66 Bovet Rd Ste 101, San Mateo, CA 94402-3126 | 2014-04-09 |
| 1598848632 | San Mateo Surgery Center | Clinic/Center | 66 Bovet Rd, Suite 101-103, San Mateo, CA 94402-3125 | 2006-10-23 |
| 1194131235 | St Matthews Surgery Center | Clinic/Center | 104 Saint Matthews Ave, San Mateo, CA 94401-2807 | 2014-07-09 |
| 1588830376 | Plastic Surgery Associates Surgery Center | Clinic/Center | 50 S San Mateo Dr, Suite 460, San Mateo, CA 94401-3857 | 2008-05-01 |
| 1750553376 | San Mateo Surgery Center LLC | Clinic/Center | 66 Bovet Rd, Suite 103, San Mateo, CA 94402-3125 | 2008-03-25 |
| 1295824118 | Abj Surgery Center, Inc. | Clinic/Center | 104 Saint Matthews Ave, San Mateo, CA 94401-2807 | 2006-10-11 |
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| 1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
| 1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
| 1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
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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.