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NONE
NPI 1376671206
Specialist in Burlingame, CA

Active since March 01, 2007
1720 EL CAMINO REAL, STE 145, BURLINGAME, CA 94010(650) 692-8804(650) 692-8805 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About None NPPES

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

NONE (NPI 1376671206) is a healthcare organization registered as a specialist in Burlingame, California and active in the NPI registry since March 2007. The organization lists Spencer Timothy Lowe, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1376671206
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePENINSULA MEDICAL GROUP
Location Address1720 EL CAMINO REAL, STE 145Burlingame, CA 94010-3224
Mailing Address1720 El Camino Real, Ste 145Burlingame, CA 94010-3224 · (650) 692-8804 · Fax (650) 692-8805
Phone(650) 692-8804
Fax(650) 692-8805
Organization SubpartNo
Authorized OfficialSpencer Timothy LoweMedical Director · (650) 692-8804
Enumeration DateMarch 1, 2007
Last NPPES UpdateMarch 10, 2008
✔ NPI 1376671206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A440070
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1720 EL CAMINO REAL, Burlingame, CA 94010
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Other Identifiers 1

Medicare PINZZZ22551ZCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD LU M.D.
Internal Medicine
1720 EL CAMINO REAL, SUITE 160
BURLINGAME, CA 94010
San Mateo County (650) 259-9480
MILLS-PENINSULA HEALTH SERVICES
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
1720 EL CAMINO REAL
BURLINGAME, CA 94010
San Mateo County (650) 696-5400
MILLS PENINSULA HEALTH SERVICES
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1720 EL CAMINO REAL
BURLINGAME, CA 94010
San Mateo County (650) 696-5400
ANNE THAI MD, A PROFESSIONAL CORPORATION
Internal Medicine (Gastroenterology)
1720 EL CAMINO REAL, SUITE NUMBER 155
BURLINGAME, CA 94010
San Mateo County (650) 685-6105
BRIAN CHARLES ROACH M.D.
Internal Medicine
1720 EL CAMINO REAL, SUITE 160
BURLINGAME, CA 94010
San Mateo County (650) 259-9480
DR. ERNEST F RIBERA MD
Internal Medicine (Gastroenterology)
1720 EL CAMINO REAL, SUITE 155
BURLINGAME, CA 94010
San Mateo County (650) 342-6506
DR. MICHELE A. GOMEZ MD
Family Medicine
1720 EL CAMINO REAL, STE. #165
BURLINGAME, CA 94010
San Mateo County (650) 692-0977
DR. DAVID C. KLONOFF M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1720 EL CAMINO REAL, SUITE #130
BURLINGAME, CA 94010
San Mateo County (650) 697-4345

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 Medical Group's NPI number?

The NPI number for Peninsula Medical Group is 1376671206. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Peninsula Medical Group located?

Peninsula Medical Group is located at 1720 El Camino Real Ste 145, Burlingame, CA 94010. The listed phone number is (650) 692-8804.

What is Peninsula Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Peninsula Medical Group was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.