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

South Drive Medical Clinic

Organization Clinical Psychologist · NPI 1043248560

South Drive Medical Clinic is a Clinical Psychologist in Mountain View, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

515 S Dr #15
Mountain View, CA 94040-4209
Phone: (650) 961-9430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY4724 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence G33788 (CA)

Record details

NPI number1043248560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Peters — President · (650) 961-9430
NPI enumeratedJune 30, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address515 S Drive, 15, Mountain View, CA 94040-4209

Other providers in Mountain View