PETER CHARLES SQUELLATI D.P.M.
NPI 1629154026
Podiatrist - Foot & Ankle Surgery in Burlingame, CA
Active since October 27, 2006
1750 EL CAMINO REAL, SUITE 105, BURLINGAME, CA 94010(650) 342-2420(650) 342-2391 Get Directions Write a Review
About Peter Charles Squellati D.p.m. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER CHARLES SQUELLATI D.P.M. (NPI 1629154026) is an individual foot & ankle surgery provider in Burlingame, California, licensed in California (E2272) and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1629154026
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NamePETER CHARLES SQUELLATICredential: D.P.M.
Location Address1750 EL CAMINO REAL, SUITE 105Burlingame, CA 94010-3228
Mailing Address1750 El Camino Real, Suite 105Burlingame, CA 94010-3228 · (650) 342-2420 · Fax (650) 342-2391
Phone(650) 342-2420
Fax(650) 342-2391
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateMarch 31, 2015
✔ NPI 1629154026 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E2272
1750 EL CAMINO REAL, Burlingame, CA 94010
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629154026, enumerated as an "individual" on October 27, 2006.
The provider is located at 1750 EL CAMINO REAL SUITE 105 BURLINGAME, CA 94010 and the phone number is (650) 342-2420.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
