OrganizationActive
Peninsula Pathologists Medical Group
NPI 1063662211 · Clinical Medical Laboratory · South San Francisco, CA
Provider details
- NPI number
- 1063662211
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Judy Alonzo, President(650) 616-2955
- License
- CLF331997 (CA)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
393 E Grand Ave
Suite I
South San Francisco, CA 94080-6233
Phone: (650) 616-2955
Fax: (650) 246-3623
Street-level locationGet directions
Mailing address
393 E Grand Ave
South San Francisco, CA 94080-6233
Registry dates
- Enumerated
- 2008-09-24
- Last updated
- 2008-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.