| Peninsula Hospitalist Associates, Inc. | |
|
1501 Trousdale Dr N/a Burlingame CA 94010-4506 | |
| (650) 288-0600 | |
| Not Available |
| Full Name | Peninsula Hospitalist Associates, Inc. |
|---|---|
| Speciality | Hospitalist |
| Location | 1501 Trousdale Dr, Burlingame, California |
| Authorized Official Name and Position | Richard Liu (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4159393248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Hospitalist Associates, Inc. 2001 Winward Way Ste 101 San Mateo CA 94404-2499 Ph: (650) 288-0600 | Peninsula Hospitalist Associates, Inc. 1501 Trousdale Dr N/a Burlingame CA 94010-4506 Ph: (650) 288-0600 |
| NPI Number | 1619232956 |
|---|---|
| Provider Enumeration Date | 07/12/2012 |
| Last Update Date | 08/03/2022 |
| Medicare PECOS PAC ID | 3274780689 |
|---|---|
| Medicare Enrollment ID | O20120820000807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619232956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Sami H Bogale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013986330 PECOS PAC ID: 9335112648 Enrollment ID: I20040816000672 |
| Provider Name | Laureen Paraguya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538270830 PECOS PAC ID: 8628031135 Enrollment ID: I20041105000597 |
| Provider Name | Shital Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912926676 PECOS PAC ID: 5890745376 Enrollment ID: I20050124000571 |
| Provider Name | David W Liao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659430379 PECOS PAC ID: 0446200091 Enrollment ID: I20050131001090 |
| Provider Name | Edward V Abratowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649232760 PECOS PAC ID: 6507801495 Enrollment ID: I20050621001342 |
| Provider Name | Jane I Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003944422 PECOS PAC ID: 1658393715 Enrollment ID: I20060103000795 |
| Provider Name | Richard C Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003967621 PECOS PAC ID: 3072692375 Enrollment ID: I20080510000136 |
| Provider Name | Bhavna Kasturia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467619213 PECOS PAC ID: 3678633195 Enrollment ID: I20081113000500 |
| Provider Name | Casey G Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104834555 PECOS PAC ID: 5597868828 Enrollment ID: I20091022000461 |
| Provider Name | Naina Bhalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568479756 PECOS PAC ID: 9335146828 Enrollment ID: I20120829000384 |
| Provider Name | Michele Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871849471 PECOS PAC ID: 3173763034 Enrollment ID: I20130717000614 |
| Provider Name | Trushna Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144502998 PECOS PAC ID: 8426291394 Enrollment ID: I20130823001109 |
| Provider Name | Alpa Vora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861769408 PECOS PAC ID: 8729217682 Enrollment ID: I20140219000542 |
| Provider Name | Harsha Koshy Alexander |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780974303 PECOS PAC ID: 4486871787 Enrollment ID: I20140811000882 |
| Provider Name | Barry S M Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558768309 PECOS PAC ID: 5193031755 Enrollment ID: I20150828000003 |
| Provider Name | Khushdeep K Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740509710 PECOS PAC ID: 9133363435 Enrollment ID: I20160225002263 |
| Provider Name | Kevin Kin Chiu Yuen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033451299 PECOS PAC ID: 6406149459 Enrollment ID: I20160728000291 |
| Provider Name | Chhavi Bajaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568705374 PECOS PAC ID: 9335446038 Enrollment ID: I20160818001995 |
| Provider Name | Lori Bruland-glimcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134518129 PECOS PAC ID: 7416234463 Enrollment ID: I20170501001552 |
| Provider Name | Matthew R Yee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962821298 PECOS PAC ID: 6800153925 Enrollment ID: I20171128002408 |
| Provider Name | Paul Tinpo Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942647060 PECOS PAC ID: 8123247582 Enrollment ID: I20180612002447 |
| Provider Name | Justin R Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053707802 PECOS PAC ID: 9133476351 Enrollment ID: I20180719000861 |
| Provider Name | Sima S. Manavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922494475 PECOS PAC ID: 9537419635 Enrollment ID: I20180911003697 |
| Provider Name | Sweta Bodepudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134516131 PECOS PAC ID: 4183975063 Enrollment ID: I20180918000540 |
| Provider Name | Kelly Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174978977 PECOS PAC ID: 7618201799 Enrollment ID: I20190624001329 |
| Provider Name | Jennifer Funk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063875821 PECOS PAC ID: 5092140327 Enrollment ID: I20200115001059 |
| Provider Name | Richie Varghese Manikat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134545767 PECOS PAC ID: 8921309683 Enrollment ID: I20210708002429 |
| Provider Name | Gopika Dasari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801393467 PECOS PAC ID: 5597029025 Enrollment ID: I20210816001627 |
| Provider Name | Aileen Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861996332 PECOS PAC ID: 7911304571 Enrollment ID: I20210923002475 |
| Provider Name | Rachit Kumar Anand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457980757 PECOS PAC ID: 0840656690 Enrollment ID: I20230519002532 |
| Provider Name | Moriah Schwarz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295397966 PECOS PAC ID: 6305218272 Enrollment ID: I20240111001717 |
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