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MAINSTREET MEDICAL PRACTICE NPI 1326128158


NPI Information

NPI: 1326128158
Provider Name: MAINSTREET MEDICAL PRACTICE

Doing Business As: DEBORAH B PENROSE DO GISELA F SCHECTER MD PAMELA CARRINGTON DO

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
725 MAIN STREET
HALF MOON BAY, CA
ZIP 94019
Phone: (650) 726-1200
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MAINSTREET MEDICAL PRACTICE is a family medicine in Half Moon Bay, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MAINSTREET MEDICAL PRACTICE NPI is 1326128158. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deborah B Penrose Do Gisela F Schecter Md Pamela Carrington Do.

The provider's business location address is:

725 MAIN STREET
HALF MOON BAY, CA
ZIP 94019
Phone: (650) 726-1200
Fax: (650) 726-1235

The provider's authorized official is Deborah B Penrose .
The authorized official title is Doctor and has the following contact phone number (650) 726-1200.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A4678CALIFORNIAYes
2207Q00000XFamily Medicine20A62160CALIFORNIAX
3207R00000XInternal MedicineG31635CALIFORNIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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