Peninsula Primary Care
NPI 1417673328 · Primary Care Clinic/Center · Torrance, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peninsula Primary Care is a Primary Care Clinic/Center organization in Torrance, CA (NPI 1417673328).
Provider details
- NPI number
- 1417673328
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Omer Deen, Owner(310) 994-9903
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-10-13
- Last updated
- 2022-10-13
- Certified
- 2022-10-13
Frequently asked questions
- What is Peninsula Primary Care's NPI number?
- Peninsula Primary Care's National Provider Identifier (NPI) is 1417673328, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peninsula Primary Care?
- Peninsula Primary Care is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Peninsula Primary Care located?
- Peninsula Primary Care's practice location on file with NPPES is 5003 Pacific Coast Hwy, Torrance, CA 90505-5441.
- What is Peninsula Primary Care's phone number?
- The practice phone number listed in the NPPES registry for Peninsula Primary Care is (877) 782-0300.
- Does Peninsula Primary Care accept Medicare?
- Peninsula Primary Care is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peninsula Primary Care?
- The authorized official listed on Peninsula Primary Care's NPPES record is Omer Deen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peninsula Primary Care's NPI active?
- Yes — Peninsula Primary Care's NPI (1417673328) is active in the NPPES registry as of the last update on 2022-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.