PENINSULA PATHOLOGISTS MEDICAL GROUP INC.
NPI 1285699793
Pathology - Anatomic Pathology & Clinical Pathology in Burlingame, CA

Active since April 18, 2006
1783 EL CAMINO REAL, PATHOLOGY DEPT, BURLINGAME, CA 94010(650) 696-5611 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peninsula Pathologists Medical Group Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA PATHOLOGISTS MEDICAL GROUP INC. (NPI 1285699793) is a healthcare organization registered as an anatomic pathology & clinical pathology in Burlingame, California and active in the NPI registry since April 2006. The organization lists Judy A Alonzo, President, as its authorized official.

NPPES Registry Identity

NPI1285699793
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NamePENINSULA PATHOLOGISTS MEDICAL GROUP INC.
Location Address1783 EL CAMINO REAL, PATHOLOGY DEPTBurlingame, CA 94010-3205
Mailing Address383 E Grand Ave, Suite ASouth San Francisco, CA 94080-6234 · (650) 616-2951
Organization SubpartNo
Authorized OfficialJudy A AlonzoPresident · (650) 616-2950
Enumeration DateApril 18, 2006
Last NPPES UpdateOctober 16, 2007
✔ NPI 1285699793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedNuclear MedicineTaxonomy 207U00000X · License CLF331997 (CA)
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License CLF331997 (CA)
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License CLF331997 (CA)
1783 EL CAMINO REAL, Burlingame, CA 94010

Other Identifiers 10

MedicaidGR0030572CA
MedicaidGR0030570CA
MedicaidLAB27269FCA
Medicare ID-Type UnspecifiedZZZ15908ZCA
MedicaidGR0030573CA
Medicare PINZZZ14038ZCA
Medicare PINZZZ14039ZCA
Medicare PINZZZ31314ZCA
Medicare PINZZZ16742ZCA
MedicaidGR0030575CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peninsula Pathologists Medical Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Peninsula Pathologists Medical Group Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (17)

Pathology
NPI 1124040787
1783 EL CAMINO REAL PATHOLOGY DEPT
Burlingame, CA 94010
(650) 696-5611
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1669698163
1783 EL CAMINO REAL MILLS PENINSULA PATHOLOGY DEPT
Burlingame, CA 94010
(650) 696-5611
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1497081806
1501 TROUSDALE DR
Burlingame, CA 94010
(650) 696-5511
✔ PECOS✔ Accepts Medicare0.1 mi
Pathology
NPI 1063600567
1501 TROUSDALE DR
Burlingame, CA 94010
(800) 288-8325
✔ PECOS✔ Accepts Medicare0.1 mi
Pathology
NPI 1558433623
100 S SAN MATEO DR HOSPITAL PATHOLOGY DEPT
San Mateo, CA 94401
(650) 696-5613
✔ PECOS✔ Accepts Medicare3.5 mi
Pathology
NPI 1104088400
383 E GRAND AVE STE A
South San Francisco, CA 94080
(650) 616-2951
✔ PECOS✔ Accepts Medicare4.6 mi
Pathology
NPI 1548387095
383 E GRAND AVE STE A
South San Francisco, CA 94080
(650) 616-2951
✔ PECOS✔ Accepts Medicare4.6 mi
Pathology
NPI 1639136286
393 E GRAND AVE STE I
South San Francisco, CA 94080
(650) 616-2955
✔ PECOS✔ Accepts Medicare4.6 mi
Pathology
NPI 1548416167
1573 SUNNYSLOPE AVE
Belmont, CA 94002
(310) 634-9486
✔ PECOS✔ Accepts Medicare8.2 mi
Pathology
NPI 1629431291
505 PARNASSUS AVE, MOFFIT M580
San Francisco, CA 94143
(415) 353-1613
✔ PECOS✔ Accepts Medicare12 mi
Pathology
NPI 1174028385
505 PARNASSUS AVENUE
San Francisco, CA 94143
(415) 353-1613
✔ PECOS✔ Accepts Medicare12 mi
Pathology
NPI 1073848503
505 PARNASSUS AVE ROOM M-580
San Francisco, CA 94143
(415) 353-7359
✔ PECOS✔ Accepts Medicare12 mi
Pathology
NPI 1811228059
505 PARNASSUS AVE M580
San Francisco, CA 94143
(415) 353-7359
✔ PECOS✔ Accepts Medicare12 mi
Pathology
NPI 1376740050
300 PASTEUR DR L235
Stanford, CA 94305
(650) 723-7211
✔ PECOS✔ Accepts Medicare16 mi
Pathology
NPI 1316021678
2500 GRANT RD ELCAMINO HOSPITAL PATHOLOGY DEPT
Mountain View, CA 94040
(650) 940-7033
✔ PECOS✔ Accepts Medicare23 mi
Pathology
NPI 1760828420
2500 GRANT RD
Mountain View, CA 94040
(650) 940-7033
✔ PECOS✔ Accepts Medicare23 mi
Pathology
NPI 1225102536
710 LAWRENCE EXPY
Santa Clara, CA 95051
(408) 851-1000
✔ PECOS✔ Accepts Medicare28 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D1029487

Peninsula Pathologists Medical Group Inc · South San Francisco, CA
Expired · Sep 30, 2026
CLIA Number05D1029487
Laboratory TypeIndependent
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorWilliam Rogers
Laboratory Phone(650) 616-2951
Laboratory LocationPeninsula Pathologists Medical Group Inc383 E Grand Ave Ste A, South San Francisco, CA 94080
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Pathologists Medical Group Inc.'s NPI number?

The NPI number for Peninsula Pathologists Medical Group Inc. is 1285699793. It was assigned to this organization in the NPPES registry on April 18, 2006.

Where is Peninsula Pathologists Medical Group Inc. located?

Peninsula Pathologists Medical Group Inc. is located at 1783 El Camino Real Pathology Dept, Burlingame, CA 94010. The listed phone number is (650) 696-5611.

What is Peninsula Pathologists Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Peninsula Pathologists Medical Group Inc. enrolled in Medicare?

Yes. Peninsula Pathologists Medical Group Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peninsula Pathologists Medical Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians, all in Pathology, reassign their Medicare billing to Peninsula Pathologists Medical Group Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peninsula Pathologists Medical Group Inc. was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.