ARCH STREET MEDICAL ASSOCIATES – NPI #1396041208
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

ARCH STREET MEDICAL ASSOCIATES is a provider located in REDWOOD CITY, CA. NPPES has assigned the NPI number 1396041208 to ARCH STREET MEDICAL ASSOCIATES on February 10, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is ARCH STREET MEDICAL ASSOCIATES, INC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 15 years ago on Feb 11, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ARCH STREET MEDICAL ASSOCIATES below.

NPI Profile for
ARCH STREET MEDICAL ASSOCIATES

NPI Number
1396041208
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARCH STREET MEDICAL ASSOCIATES
Former Legal Business Name: ARCH STREET MEDICAL ASSOCIATES, INC
Primary location
143 BIRCH STREET
REDWOOD CITY, CA 94062
Phone: (650) 366-1141 Fax: (650) 366-1265
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PETER BULLUCK
CEO
Phone: (650) 366-1141
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 CA A31093

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.