Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peninsula Pediatric Med Grp Inc

Organization Pediatrics Physician · NPI 1790990307

Peninsula Pediatric Med Grp Inc provides Pediatrics Physician services in San Mateo, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

50 S San Mateo Dr Ste #180
San Mateo, CA 94401-3857 Not confirmed with CMS for 15 years — call before visiting
Phone: (650) 342-4141
Fax: (650) 342-2070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (CA)

Record details

NPI number1790990307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Albert Kasuga — President · (650) 259-5050
NPI enumeratedMay 14, 2007
Last updated in NPPESJune 8, 2011
Mailing address1720 El Camino Real, Suite #230, Burlingame, CA 94010-3224

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