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MILLS-PENINSULA MEDICAL GROUP CLINICS
NPI 1588879134
General Practice in San Mateo, CA

Active since May 14, 2007
50 S SAN MATEO DR, SUITE 150, SAN MATEO, CA 94401(650) 696-9770(650) 375-1363 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mills-peninsula Medical Group Clinics NPPES

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

MILLS-PENINSULA MEDICAL GROUP CLINICS (NPI 1588879134) is a healthcare organization registered as a general practice in San Mateo, California and active in the NPI registry since May 2007. The organization lists Trudy Brady, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1588879134
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMILLS PENINSULA MEDICAL GROUP
Location Address50 S SAN MATEO DR, SUITE 150San Mateo, CA 94401-3857
Mailing Address50 S San Mateo Dr, Suite 150San Mateo, CA 94401-3857 · (650) 696-9770 · Fax (650) 375-1363
Phone(650) 696-9770
Fax(650) 375-1363
Organization SubpartNo
Authorized OfficialTrudy BradyClinic Director · (650) 240-8011
Enumeration DateMay 14, 2007
Last NPPES UpdateJanuary 31, 2008
✔ NPI 1588879134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
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
50 S SAN MATEO DR, San Mateo, CA 94401
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Other Names 1

Other NameMills-peninsula Medical Group Clinics

Other Identifiers 1

Medicare PINZZZ14902ZCA

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

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.

SOMYA JALAN MD
Pediatrics
50 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 652-8353
DR. STEPHEN BUCHNER MD
Pediatrics
50 S SAN MATEO DR, STE 180
SAN MATEO, CA 94401
San Mateo County (650) 342-4145
DR. GEORGE WILLIAM SHORAGO M.D.
Otolaryngology
50 S SAN MATEO DR, SUITE 320
SAN MATEO, CA 94401
San Mateo County (650) 340-7200
JULIAN HARDY MCLAIN MD
Internal Medicine (Hematology & Oncology)
50 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 696-5420
HOWARD K CHOW MD
Pediatrics
50 S SAN MATEO DR, SUITE 260
SAN MATEO, CA 94401
San Mateo County (650) 579-6500
DENISE MARY ROS
Physician Assistant
50 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 652-8788
JEANNE V BEYMER MD
Pediatrics
50 S SAN MATEO DR, STE 260
SAN MATEO, CA 94401
San Mateo County (650) 579-6500
DR. JOHN ROBERT GRIFFIN M.D.
Surgery (Plastic and Reconstructive Surgery)
50 S SAN MATEO DR, STE 470
SAN MATEO, CA 94401
San Mateo County (650) 652-8239

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 Mills Peninsula Medical Group's NPI number?

The NPI number for Mills Peninsula Medical Group is 1588879134. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as Mills-Peninsula Medical Group Clinics.

Where is Mills Peninsula Medical Group located?

Mills Peninsula Medical Group is located at 50 S San Mateo Dr Suite 150, San Mateo, CA 94401. The listed phone number is (650) 696-9770.

What is Mills Peninsula Medical Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Mills Peninsula Medical Group was last updated on January 31, 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.