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MILLS-PENINSULA MEDICAL GROUP
NPI 1639384274
General Practice in Burlingame, CA

Active since May 14, 2007
577 AIRPORT BLVD, SUITE 300, BURLINGAME, CA 94010(650) 240-8000(650) 240-0953 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mills-peninsula Medical Group NPPES

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

MILLS-PENINSULA MEDICAL GROUP (NPI 1639384274) is a healthcare organization registered as a general practice in Burlingame, California and active in the NPI registry since May 2007. The organization lists Sharon Katz, Vp Of Medical Management Privacy Of, as its authorized official.

NPPES Registry Identity

NPI1639384274
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMILLS-PENINSULA MEDICAL GROUP
Location Address577 AIRPORT BLVD, SUITE 300Burlingame, CA 94010-2020
Mailing Address577 Airport Blvd, Suite 300Burlingame, CA 94010-2020 · (650) 240-8000 · Fax (650) 240-0953
Phone(650) 240-8000
Fax(650) 240-0953
Organization SubpartNo
Authorized OfficialSharon KatzVp Of Medical Management Privacy Of · (650) 240-8053
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639384274 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
577 AIRPORT BLVD, Burlingame, CA 94010
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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 4

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

DR. HOWARD MICHAEL BOTWINICK M.D.
Emergency Medicine
577 AIRPORT BLVD, SUITE 300
BURLINGAME, CA 94010
San Mateo County (650) 240-8051
DR. JESUS SAUCEDO M.D.
Family Medicine
577 AIRPORT BLVD, STE 300
BURLINGAME, CA 94010
San Mateo County (650) 240-8122
DR. STEWART BLANDON M.D.
Internal Medicine
577 AIRPORT BLVD
BURLINGAME, CA 94010
San Mateo County (650) 240-8130
LENISHA BHUKHAN
Technician, Health Information (Assistant Record Technician)
577 AIRPORT BLVD
BURLINGAME, CA 94010
San Mateo County (650) 240-8067

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 1639384274. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Mills-Peninsula Medical Group located?

Mills-Peninsula Medical Group is located at 577 Airport Blvd Suite 300, Burlingame, CA 94010. The listed phone number is (650) 240-8000.

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 August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.