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MIDPENINSULA SURGICAL ASSOCIATES MEDICAL GROUP NPI 1164484150


NPI Information

NPI: 1164484150
Provider Name: MIDPENINSULA SURGICAL ASSOCIATES MEDICAL GROUP
Classification: Surgery - 2086X0206X
Entity Type: Organization

Specialization: Surgical Oncology

Address:
2204 GRANT RD
STE 203
MOUNTAIN VIEW, CA
ZIP 94040
Phone: (650) 964-0600
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MIDPENINSULA SURGICAL ASSOCIATES MEDICAL GROUP is a surgical oncology surgery in Mountain View, CA. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. MIDPENINSULA SURGICAL ASSOCIATES MEDICAL GROUP NPI is 1164484150. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2204 GRANT RD
STE 203
MOUNTAIN VIEW, CA
ZIP 94040-877
Phone: (650) 964-0600
Fax: (650) 964-0991

The provider's authorized official is Saul Eisenstat .
The authorized official title is President and has the following contact phone number (650) 964-0600.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 10/10/2011.


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
1208600000XSurgeryNo
22086X0206XSurgerySurgical OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0048611MEDICAIDCALIFORNIA
2ZZZ19414ZOTHERCALIFORNIAPTAN

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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