PENINSULA GASTROINTESTINAL
NPI 1306144209
Internal Medicine - Gastroenterology in San Mateo, CA

NPI Status: Active since March 02, 2011

Contact Information

100 S ELLSWORTH AVE
SUITE 507
SAN MATEO, CA
ZIP 94401
Phone: (650) 342-7432
Fax: (650) 342-3239

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  • Organization
  • Internal Medicine
  • Gastroenterology
  • Accepts Insurance
  • CLIA Number: 05D2306662
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-03-2027

About PENINSULA GASTROINTESTINAL

This page provides the complete NPI Profile along with additional information for Peninsula Gastrointestinal, an internist established in San Mateo, California operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1306144209 assigned on March 2011. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Edward K Onuma Md (President)

NPI
1306144209
Provider Name
PENINSULA GASTROINTESTINAL
Entity Type
Organization
Location Address
100 S ELLSWORTH AVE SUITE 507 SAN MATEO, CA 94401
Location Phone
(650) 342-7432
Location Fax
(650) 342-3239
Mailing Address
100 S ELLSWORTH AVE SUITE 507 SAN MATEO, CA 94401
Mailing Phone
(650) 342-7432
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2011
Last Update Date
08-18-2016
Code Navigator

An internist like Peninsula Gastrointestinal is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Share - PPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Share - PPO
  • Balance by Medica Silver Standard - EPO
  • Balance by Medica Silver Standard - PPO
  • Elevate by Medica Bronze $0 Copay PCP Visits - EPO
  • Elevate by Medica Bronze Premier - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EDWARD K ONUMA MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(650) 342-7432

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2306662
Facility Type
Physician Office
Certificate Effective Date
December 04, 2025
Certificate Expiration Date
December 03, 2027
Laboratory Director
JIN GUO
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Peninsula Gastrointestinal after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306144209, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 2 + 4 + 8 + 2 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1306144209.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
100 S ELLSWORTH AVE, #208
SAN MATEO, CA 94401
Dentist (General Practice)
100 S ELLSWORTH AVE, SUITE 206
SAN MATEO, CA 94401
Audiologist
100 S ELLSWORTH AVE, SUITE 303
SAN MATEO, CA 94401
Psychologist
100 S ELLSWORTH AVE, #802
SAN MATEO, CA 94401
Chiropractor
100 S ELLSWORTH AVE, 504
SAN MATEO, CA 94401
Audiologist
100 S ELLSWORTH AVE, SUITE 303
SAN MATEO, CA 94401
Psychologist (Clinical)
100 S ELLSWORTH AVE, #802
SAN MATEO, CA 94401
Dentist
100 S ELLSWORTH AVE, SUITE 601
SAN MATEO, CA 94401
Psychiatry & Neurology (Psychiatry)
100 S ELLSWORTH AVE, STE.611
SAN MATEO, CA 94401
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
100 S ELLSWORTH AVE, SUITE 504
SAN MATEO, CA 94401
Audiologist
100 S ELLSWORTH AVE, 303
SAN MATEO, CA 94401
Dentist (General Practice)
100 S ELLSWORTH AVE, SUITE 309
SAN MATEO, CA 94401
Otolaryngology
100 S ELLSWORTH AVE, SUITE 301
SAN MATEO, CA 94401
Health Maintenance Organization
100 S ELLSWORTH AVE, # 802
SAN MATEO, CA 94401
Dentist (General Practice)
100 S ELLSWORTH AVE, SUITE 509
SAN MATEO, CA 94401
Orthotist
100 S ELLSWORTH AVE, SUITE 203
SAN MATEO, CA 94401
Student in an Organized Health Care Education/Training Program
100 S ELLSWORTH AVE, SUITE 203
SAN MATEO, CA 94401
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
100 S ELLSWORTH AVE, SUITE 308
SAN MATEO, CA 94401
Dentist
100 S ELLSWORTH AVE, SUITE 601
SAN MATEO, CA 94401
Dentist
100 S ELLSWORTH AVE, SUITE 509
SAN MATEO, CA 94401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306144209, enumerated as an "organization" on March 02, 2011.

The provider is located at 100 S ELLSWORTH AVE SUITE 507 SAN MATEO, CA 94401 and the phone number is (650) 342-7432.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.