Peninsula Pediatric Med Grp Inc
NPI 1790990307ActiveOrganization· Pediatrics· San Mateo, CA
Pediatrics in San Mateo, California, registered in NPPES in May 2007. The authorized official on file is Albert R. Kasuga, MD, President.
Overview
| NPI | 1790990307 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2007 |
| Last updated in NPPES | Jun 8, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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