Peninsula Dermatologic Surgery Inc
NPI 1598901340 · MOHS-Micrographic Surgery Physician · Menlo Park, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peninsula Dermatologic Surgery Inc is a MOHS-Micrographic Surgery Physician organization in Menlo Park, CA (NPI 1598901340).
Provider details
- NPI number
- 1598901340
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jon Starr, Ceo(650) 326-7222
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2008-12-29
- Last updated
- 2009-04-10
Frequently asked questions
- What is Peninsula Dermatologic Surgery Inc's NPI number?
- Peninsula Dermatologic Surgery Inc's National Provider Identifier (NPI) is 1598901340, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peninsula Dermatologic Surgery Inc?
- Peninsula Dermatologic Surgery Inc is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Peninsula Dermatologic Surgery Inc located?
- Peninsula Dermatologic Surgery Inc's practice location on file with NPPES is 321 Middlefield Rd # 245, Menlo Park, CA 94025-3564.
- What is Peninsula Dermatologic Surgery Inc's phone number?
- The practice phone number listed in the NPPES registry for Peninsula Dermatologic Surgery Inc is (650) 326-7222.
- Does Peninsula Dermatologic Surgery Inc accept Medicare?
- Peninsula Dermatologic Surgery Inc 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 Dermatologic Surgery Inc?
- The authorized official listed on Peninsula Dermatologic Surgery Inc's NPPES record is Jon Starr, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peninsula Dermatologic Surgery Inc's NPI active?
- Yes — Peninsula Dermatologic Surgery Inc's NPI (1598901340) is active in the NPPES registry as of the last update on 2009-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.