PENINSULA BIOMEDICAL INC. NPI 1376629998

NPI Information

NPI: 1376629998
Provider Name: PENINSULA BIOMEDICAL, INC.

Doing Business As: PENINSULA MEDICAL, INC.

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
15 CAMP EVERS LN
SCOTTS VALLEY, CA
ZIP 95066
Phone: (831) 430-9066
Get Directions

PENINSULA BIOMEDICAL, INC. is a customized equipment durable medical equipment medical supplies in Scotts Valley, CA. PENINSULA BIOMEDICAL, INC. NPI is 1376629998. The provider is registered as an organization entity type.
The provider Is Doing Business As Peninsula Medical, Inc..

The provider's business location address is:

15 CAMP EVERS LN
SCOTTS VALLEY, CA
ZIP 95066-128
Phone: (831) 430-9066
Fax: (831) 430-9068

The provider's authorized official is Amanda Criswell .
The authorized official title is Insurance Billing Manager and has the following contact phone number (831) 430-9066.

The enumeration date for this NPI number is 10/27/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	1196930001	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	29401372	MEDICAID	COLORADO
2	82712600	MEDICAID	WISCONSIN
3	9048612	MEDICAID	WASHINGTON
4	9102475	MEDICAID	VIRGINIA
5	4549517	MEDICAID	MICHIGAN
6	2107491	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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