South Drive Medical Clinic
NPI 1043248560 · Clinical Psychologist · Mountain View, CA
South Drive Medical Clinic is a Clinical Psychologist organization in Mountain View, CA (NPI 1043248560).
Provider details
- NPI number
- 1043248560
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Peters, President(650) 961-9430
- License
- G33788 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2025-09-11
Frequently asked questions
- What is South Drive Medical Clinic's NPI number?
- South Drive Medical Clinic's National Provider Identifier (NPI) is 1043248560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Drive Medical Clinic?
- South Drive Medical Clinic is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is South Drive Medical Clinic located?
- South Drive Medical Clinic's practice location on file with NPPES is 515 S Drive, Mountain View, CA 94040-4209.
- What is South Drive Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for South Drive Medical Clinic is (650) 961-9430.
- Who is the authorized official for South Drive Medical Clinic?
- The authorized official listed on South Drive Medical Clinic's NPPES record is Kenneth Peters, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Drive Medical Clinic's NPI active?
- Yes — South Drive Medical Clinic's NPI (1043248560) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.