| Peninsula Healthcare Connection, Inc. | |
|
33 Encina Ave Suite 103 Palo Alto CA 94301-2300 | |
| (650) 504-6565 | |
| (650) 853-0359 |
| Full Name | Peninsula Healthcare Connection, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 33 Encina Ave, Palo Alto, California |
| Authorized Official Name and Position | Elfreda E. Strydom (COO) |
| Authorized Official Contact | 6505046565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Healthcare Connection, Inc. 33 Encina Ave Suite 103 Palo Alto CA 94301-2300 Ph: (650) 504-6565 | Peninsula Healthcare Connection, Inc. 33 Encina Ave Suite 103 Palo Alto CA 94301-2300 Ph: (650) 504-6565 |
| NPI Number | 1295935799 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 03/05/2019 |
| Medicare PECOS PAC ID | 3274701545 |
|---|---|
| Medicare Enrollment ID | O20110713000325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295935799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Daryn S Reicherter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063569721 PECOS PAC ID: 6305731985 Enrollment ID: I20040220001120 |
| Provider Name | Haleh Sheikholeslami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962442731 PECOS PAC ID: 9638065055 Enrollment ID: I20040224000324 |
| Provider Name | Rika Umeda Bajra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467596916 PECOS PAC ID: 4880625375 Enrollment ID: I20050824000765 |
| Provider Name | Julius H Fu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952406605 PECOS PAC ID: 4284640392 Enrollment ID: I20060227000796 |
| Provider Name | Sangeeta P Kopardekar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568561157 PECOS PAC ID: 9335146166 Enrollment ID: I20061108000488 |
| Provider Name | Sarah M Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588674766 PECOS PAC ID: 0446151518 Enrollment ID: I20071119000273 |
| Provider Name | Chwen Yuen A Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114100476 PECOS PAC ID: 1052496064 Enrollment ID: I20080313000685 |
| Provider Name | Laura I Vaughan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912075995 PECOS PAC ID: 2466517131 Enrollment ID: I20090212000169 |
| Provider Name | David S Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639330806 PECOS PAC ID: 0143492702 Enrollment ID: I20170823003082 |
| Provider Name | Crystal Unzueta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538574470 PECOS PAC ID: 1658644596 Enrollment ID: I20200427002327 |
| Provider Name | Elana Cohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730641861 PECOS PAC ID: 1153797139 Enrollment ID: I20230803002085 |
| Provider Name | Kenneth Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902350051 PECOS PAC ID: 5092177527 Enrollment ID: I20230816001575 |
| Provider Name | Joanna L Wishart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073076220 PECOS PAC ID: 4880928514 Enrollment ID: I20231206003962 |
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Achievekids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3860 Middlefield Rd, Palo Alto, CA 94303 Phone: 650-494-1200 Fax: 650-494-1243 | |
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