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PENINSULA DERMATOLOGY MEDICAL GROUP INC
NPI 1699858233
Dermatology in Burlingame, CA

Active since October 24, 2006
1750 EL CAMINO REAL, STE 206, BURLINGAME, CA 94010(650) 692-0182(650) 692-7741 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peninsula Dermatology Medical Group Inc NPPES

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

PENINSULA DERMATOLOGY MEDICAL GROUP INC (NPI 1699858233) is a healthcare organization registered as a dermatology in Burlingame, California and active in the NPI registry since October 2006. The organization lists Donald M Kay, President, as its authorized official.

NPPES Registry Identity

NPI1699858233
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePENINSULA DERMATOLOGY MEDICAL GROUP INC
Location Address1750 EL CAMINO REAL, STE 206Burlingame, CA 94010
Mailing Address1750 El Camino Real, Ste 206Burlingame, CA 94010 · (650) 692-0182 · Fax (650) 692-7741
Phone(650) 692-0182
Fax(650) 692-7741
Organization SubpartNo
Authorized OfficialDonald M KayPresident · (650) 692-0182
Enumeration DateOctober 24, 2006
Last NPPES UpdateOctober 27, 2014
✔ NPI 1699858233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1750 EL CAMINO REAL, Burlingame, CA 94010
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Other Identifiers 1

OtherZZZ20101ZCA · Medicare Provider Number

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peninsula Dermatology Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Peninsula Dermatology Medical Group Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Karen Keller, MD
Dermatology
NPI 1437157054
1750 EL CAMINO REAL STE 206
Burlingame, CA 94010
(650) 692-0182
✔ PECOS✔ Accepts MedicareSame address
Nikolajs Lapins, M.D.
Dermatology
NPI 1346247228
1750 EL CAMINO REAL STE 206
Burlingame, CA 94010
(650) 692-0182
✔ PECOS✔ Accepts MedicareSame address
Janet Maldonado, M.D.
Dermatology
NPI 1518099977
1750 EL CAMINO REAL SUITE NUMBER 206
Burlingame, CA 94010
(650) 692-0182
✔ PECOS✔ Accepts MedicareSame address
Sarah Arron, M.D., PH.D.
Dermatology
NPI 1255463725
1750 EL CAMINO REAL STE 206
Burlingame, CA 94010
(650) 692-0182
✔ PECOS✔ Accepts MedicareSame address
Jennifer Sorrell, M.D.
Dermatology
NPI 1487827861
15720 WINCHESTER BLVD
Los Gatos, CA 95030
(408) 730-6130
✔ PECOS✔ Accepts Medicare33 mi
Silke Heinisch, MD, PHD
Dermatology
NPI 1649590910
2950 RESEARCH PARK DR
Soquel, CA 95073
(831) 458-5548
✔ PECOS✔ Accepts Medicare48 mi
Daria Maldonado Knapp, M.D.
Dermatology
NPI 1659482149
9781 BLUE LARKSPUR LN SUITE 100
Monterey, CA 93940
(831) 333-9008
✔ PECOS77 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 of Compliance 05D0590965

Peninsula Dermatology Medical Group, Inc · Burlingame, CA
Expired · Sep 30, 2026
CLIA Number05D0590965
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Nikolajs A. Lapins
Laboratory Phone(650) 692-0182
Laboratory LocationPeninsula Dermatology Medical Group, Inc1750 El Camino Real, Ste 206, Burlingame, CA 94010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Peninsula Dermatology Medical Group Inc's NPI number?

The NPI number for Peninsula Dermatology Medical Group Inc is 1699858233. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Peninsula Dermatology Medical Group Inc located?

Peninsula Dermatology Medical Group Inc is located at 1750 El Camino Real Ste 206, Burlingame, CA 94010. The listed phone number is (650) 692-0182.

What is Peninsula Dermatology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Peninsula Dermatology Medical Group Inc enrolled in Medicare?

Yes. Peninsula Dermatology Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peninsula Dermatology Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Dermatology, reassign their Medicare billing to Peninsula Dermatology Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peninsula Dermatology Medical Group Inc was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.