Provider Type Icon

EAR NOSE & THROAT MEDICAL ASSOCIATES OF THE PENINSULA INC NPI 1467720722


NPI Information

NPI: 1467720722
Provider Name: EAR, NOSE & THROAT MEDICAL ASSOCIATES OF THE PENINSULA, INC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
100 S ELLSWORTH AVE
SUITE 308
SAN MATEO, CA
ZIP 94401
Phone: (650) 344-6896
Get Directions

EAR, NOSE & THROAT MEDICAL ASSOCIATES OF THE PENINSULA, INC is an otolaryngology/facial plastic surgery otolaryngology in San Mateo, CA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. EAR, NOSE & THROAT MEDICAL ASSOCIATES OF THE PENINSULA, INC NPI is 1467720722. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 S ELLSWORTH AVE
SUITE 308
SAN MATEO, CA
ZIP 94401-939
Phone: (650) 344-6896
Fax: (650) 344-2794

The provider's authorized official is Jennifer Bock Hughes .
The authorized official title is President and has the following contact phone number (650) 344-6896.

The enumeration date for this NPI number is 12/1/2011 and was last updated on 1/5/2012.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryG071603CALIFORNIAYes

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
1F17538MEDICARE UPINCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.