Midpeninsula Surgical Associates Medical Group
LBN: Midpeninsula Surgical Associates Medical Group
Midpeninsula Surgical Associates Medical Group is an health care organization with primary practice located at 2204 Grant Rd Ste 203, Mountain View CA 94040-3877. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is the primary health care specialty.
Midpeninsula Surgical Associates Medical Group can be contacted via phone (650) 964-0600, or through Eisenstat, Saul via phone (650) 964-0600.
Contact Information
Primary practice address
2204 Grant Rd Ste 203
Mountain View CA 94040-3877
Phone: (650) 964-0600
Fax: (650) 964-0991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X |
Profile Details
| NPI number | 1164484150 |
|---|---|
| LBN Legal business name | Midpeninsula Surgical Associates Medical Group |
| DBA Doing business as | |
| Authorized official | Eisenstat, Saul Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Oct 10th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164484150 | NPPES |
| California | Other | ZZZ19414Z | PTAN |
| California | MEDICAID | GR0048611 | PTAN |
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