Peninsula Nephrology, Inc. in San Mateo - End-stage Renal Disease (esrd) Treatment
Peninsula Nephrology, Inc. - NPI 1518969039
Peninsula Nephrology, Inc. is a End-stage Renal Disease (esrd) Treatment in San Mateo, California. Peninsula Nephrology, Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Peninsula Nephrology, Inc. is 1518969039. The last update date is 2020-08-22.
Peninsula Nephrology, Inc.'s current location address is 2000 S El Camino Real, San Mateo, California. You can contact this provider via phone number 6503770200 and fax number 6503583906. The mailing address for Peninsula Nephrology, Inc. is 2000 S El Camino Real, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peninsula Nephrology, Inc. |
|---|---|
| Address | 2000 S El Camino Real, San Mateo, California |
| Phone Number | 6503770200 |
| Fax Number | 6503583906 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Jansen Cynthia |
| Credentials | RN, BS, MB |
| Telephone Number | 6503770200 |
NPI Number Detail
| NPI Number | 1518969039 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2000 S El Camino Real |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 944031805 |
| Phone Number | 6503770200 |
| Fax Number | 6503583906 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CDC02874F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Peninsula Nephrology, Inc. by the Centers for Medicare & Medicaid Services?
The Peninsula Nephrology, Inc. has been issued the NPI (National Provider Identifier) 1518969039 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Peninsula Nephrology, Inc. located?
The Peninsula Nephrology, Inc. is located at 2000 S El Camino Real, San Mateo, CA 944031805.
What is Peninsula Nephrology, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peninsula Nephrology, Inc. is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.
On what date did the Peninsula Nephrology, Inc. receive its 1518969039 assignment from the Centers for Medicare & Medicaid Services?
The Peninsula Nephrology, Inc. was assigned its 1518969039 by the Centers for Medicare & Medicaid Services on 2005-08-15.
As of what date were the details related to Peninsula Nephrology, Inc. most recently updated or revised?
The information pertaining to Peninsula Nephrology, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.