Peninsula OBGYN Integrative
NPI 1669957114ActiveOrganization· Obstetrics & Gynecology· San Mateo, CA
Obstetrics & Gynecology in San Mateo, California, registered in NPPES in October 2018. The authorized official on file is Samuel Young, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669957114 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 1, 2018 |
| Last updated in NPPES | Aug 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Obstetrics & Gynecology providers in San Mateo
- 1477725273
- 1629209465
- 1558121905
- 1417748625
- 1275399602
- 1841517943
- 1265548390
- 1558933911
- 1740428804
- 1558529065
- 1528235199
- 1841744992