San Mateo Dialysis Center

LBN: Peninsula Nephrology, Inc.
San Mateo Dialysis Center is an health care organization with primary practice located at 2000 S El Camino Real , San Mateo CA 94403-1805. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Peninsula Nephrology, Inc. can be contacted via phone (650) 377-0200, or through Jansen, Cynthia via phone (650) 377-0200.

Contact Information

Primary practice address
2000 S El Camino Real San Mateo CA 94403-1805
Phone: (650) 377-0200
Fax: (650) 358-3906
Website:
Map and Directions
Authorized official contact:
Name: Jansen, Cynthia RN, BS, MBA
Phone: (650) 377-0200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X California

Profile Details

NPI number 1235130352
LBN Legal business name Peninsula Nephrology, Inc.
DBA Doing business as San Mateo Dialysis Center
Authorized official Jansen, Cynthia RN, BS, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235130352 NPPES
California MEDICAID CDC02819F

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