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

Peninsula Pediatric Med Grp Inc

Organization Pediatrics Physician · NPI 1790990307

Peninsula Pediatric Med Grp Inc is a Pediatrics Physician 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
Phone: (650) 342-4141
Fax: (650) 342-2070
Show map & directions

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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