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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: August 16, 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

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 · Jul 31, 2026
CLIA Number05D0590965
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2024
Certificate Expiration DateJuly 31, 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.

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.

DR. WILLIAM B BOHANNAN D.D.S., M.D.
Dentist (Oral and Maxillofacial Surgery)
1750 EL CAMINO REAL, SUITE 403
BURLINGAME, CA 94010
San Mateo County (650) 692-1530
PENINSULA NEUROLOGICAL ASSOCIATES
Psychiatry & Neurology (Neurology)
1750 EL CAMINO REAL, SUITE 106
BURLINGAME, CA 94010
San Mateo County (650) 697-6632
GASTROENTEROLOGY CONSULTANTS OF THE
Specialist
1750 EL CAMINO REAL, SUITE 11
BURLINGAME, CA 94010
San Mateo County (650) 692-1373
JOHN A. CONNOLLY M.D.
Urology
1750 EL CAMINO REAL, SUITE #307
BURLINGAME, CA 94010
San Mateo County (650) 259-1480
DR. XIE, INC.
Obstetrics & Gynecology
1750 EL CAMINO REAL, STE 305
BURLINGAME, CA 94010
San Mateo County (650) 697-8808
DR. MARK STEVEN PERLSWEIG M.D.
Psychiatry & Neurology (Psychiatry)
1750 EL CAMINO REAL, SUITE 401
BURLINGAME, CA 94010
San Mateo County (650) 692-2690
SAN MATEO DIALYSIS ASSOCIATES
Internal Medicine (Nephrology)
1750 EL CAMINO REAL, 15
BURLINGAME, CA 94010
San Mateo County (650) 692-6302
DR. LORNE K ROSENFIELD MD
Plastic Surgery
1750 EL CAMINO REAL, #405
BURLINGAME, CA 94010
San Mateo County (650) 692-0467

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.

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 11 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.