PENINSULA OBGYN INTEGRATIVE
NPI 1669957114
Obstetrics & Gynecology in San Mateo, CA
NPI Status: Active since October 01, 2018
Contact Information
101 S SAN MATEO DR STE 111
SAN MATEO, CA
ZIP 94401
Phone: (650) 542-0092
Fax: (650) 389-6960
- Organization
- Obstetrics & Gynecology
- CLIA Number: 05D2172281
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-17-2027
About PENINSULA OBGYN INTEGRATIVE
This page provides the complete NPI Profile along with additional information for Peninsula Obgyn Integrative, a women's health care provider established in San Mateo, California operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1669957114 assigned on October 2018. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Samuel Young Md (President)
- NPI
- 1669957114
- Provider Name
- PENINSULA OBGYN INTEGRATIVE
- Entity Type
- Organization
- Location Address
- 101 S SAN MATEO DR STE 111 SAN MATEO, CA 94401
- Location Phone
- (650) 542-0092
- Location Fax
- (650) 389-6960
- Mailing Address
- 205 DE ANZA BLVD # 72 SAN MATEO, CA 94402
- Mailing Phone
- (650) 281-8716
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-01-2018
- Last Update Date
- 08-19-2019
- Code Navigator
Women's health care providers like Peninsula Obgyn Integrative treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2172281
- Facility Type
- Physician Office
- Certificate Effective Date
- September 18, 2025
- Certificate Expiration Date
- September 17, 2027
- Laboratory Director
- SAMUEL YOUNG
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Peninsula Obgyn Integrative in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669957114, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669957114, enumerated as an "organization" on October 01, 2018.
The provider is located at 101 S SAN MATEO DR STE 111 SAN MATEO, CA 94401 and the phone number is (650) 542-0092.
Obstetrics & Gynecology with taxonomy code 207V00000X.
