PENINSULA BIOMEDICAL INC. NPI 1386795011

NPI Information

  • NPI: 1386795011
  • Provider Name: PENINSULA BIOMEDICAL, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: PENINSULA MEDICAL, INC.
  • Address: 108 WHISPERING PINES DR
    SUITE 115
    SCOTTS VALLEY, CA
    ZIP 95066
  • Phone: (831) 430-9066

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NPI Details

PENINSULA BIOMEDICAL, INC. is a durable medical equipment medical supplies in Scotts Valley, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PENINSULA BIOMEDICAL, INC. NPI is 1386795011. 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:

108 WHISPERING PINES DR
SUITE 115
SCOTTS VALLEY, CA
ZIP 95066-792
Phone: (831) 430-9066
Fax: (831) 430-9068

The provider's authorized official is Anndee Hafner .
The authorized official title is General Manager and has the following contact phone number (831) 430-9066.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 7/19/2017.

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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment2676CALIFORNIANo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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 Other Provider Identifier Issuer
19102475MEDICAIDVIRGINIA
21196930001MEDICARE ID-TYPE UNSPECIFIED
3=========001MEDICAIDILLINOIS
44549517MEDICAIDMICHIGAN
59048612MEDICAIDWASHINGTON
68129631-00MEDICAIDMINNESOTA
729401372MEDICAIDCOLORADO
882712600MEDICAIDWISCONSIN
9=========001MEDICAIDUTAH
102107491MEDICAIDOHIO
11807375000MEDICAIDIDAHO

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: 11/21/2025

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