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ARCH STREET MEDICAL ASSOCIATES
NPI 1396041208
General Practice in Redwood City, CA

Active since February 10, 2011CLIA 05D0592021 · Microscopy
143 BIRCH STREET, REDWOOD CITY, CA 94062(650) 366-1141(650) 366-1265 Get Directions Write a Review

NPPES record last updated: February 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arch Street Medical Associates NPPES

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

ARCH STREET MEDICAL ASSOCIATES (NPI 1396041208), doing business as Arch Street Medical Associates, Inc, is a healthcare organization registered as a general practice in Redwood City, California and active in the NPI registry since February 2011. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Peter J Bulluck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396041208
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameARCH STREET MEDICAL ASSOCIATES
Location Address143 BIRCH STREETRedwood City, CA 94062
Mailing Address143 Birch StreetRedwood City, CA 94062 · (650) 366-1141 · Fax (650) 366-1265
Phone(650) 366-1141
Fax(650) 366-1265
Organization SubpartNo
Authorized OfficialPeter J BulluckCeo · (650) 366-1141
Enumeration DateFebruary 10, 2011
Last NPPES UpdateFebruary 11, 2011
✔ NPI 1396041208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A31093
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
143 BIRCH STREET, Redwood City, CA 94062
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Other Names 1

Former Legal Business NameArch Street Medical Associates, Inc

Other Identifiers 1

Medicare UPINA26346CA

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 SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0592021

Arch Street Medical Associates Inc · Redwood City, CA
Active · expires Aug 31, 2026
CLIA Number05D0592021
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPeter J. Bullock MD
Laboratory Phone(650) 366-1141
Laboratory LocationArch Street Medical Associates Inc143 Birch Street, Redwood City, CA 94062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Arch Street Medical Associates's NPI number?

The NPI number for Arch Street Medical Associates is 1396041208. It was assigned to this organization in the NPPES registry on February 10, 2011. The provider was formerly known as Arch Street Medical Associates, Inc.

Where is Arch Street Medical Associates located?

Arch Street Medical Associates is located at 143 Birch Street, Redwood City, CA 94062. The listed phone number is (650) 366-1141.

What is Arch Street Medical Associates's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Arch Street Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0592021) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arch Street Medical Associates was last updated on February 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.