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AFTER HOUR PEDIATRICS URGENT CARE CLINIC A MEDICAL CORPORATION NPI 1417009705


NPI Information

NPI: 1417009705
Provider Name: AFTER HOUR PEDIATRICS URGENT CARE CLINIC, A MEDICAL CORPORATION

Doing Business As: AFTER HOUR PEDIATRICS URGENT CARE CLINIC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2050073

Address:
210 BALDWIN AVE
SAN MATEO, CA
ZIP 94401
Phone: (510) 579-6581
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AFTER HOUR PEDIATRICS URGENT CARE CLINIC, A MEDICAL CORPORATION is an urgent care clinic center in San Mateo, CA. AFTER HOUR PEDIATRICS URGENT CARE CLINIC, A MEDICAL CORPORATION NPI is 1417009705. The provider is registered as an organization entity type.
The provider Is Doing Business As After Hour Pediatrics Urgent Care Clinic.

The provider's business location address is:

210 BALDWIN AVE
SAN MATEO, CA
ZIP 94401-915
Phone: (510) 579-6581
Fax: (650) 579-7851

The provider's authorized official is Connie Streifinger Kniveton .
The authorized official title is Medical Director and has the following contact phone number (650) 579-6581.

The CLIA number assigned to this NPI record is 05D2050073 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 1/26/2021.


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
1261QU0200XClinic/CenterUrgent CareYes

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
1ZZZ61931ZOTHERCALIFORNIABLUE SHIELD ID

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

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