Peninsula Plastic Surgery Medical Group Inc
NPI 1902666324 · Plastic Surgery Physician · Burlingame, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peninsula Plastic Surgery Medical Group Inc is a Plastic Surgery Physician organization in Burlingame, CA (NPI 1902666324).
Provider details
- NPI number
- 1902666324
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Butler, Authorized Official(415) 713-4341
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
2 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
- 2024-03-21
- Last updated
- 2024-03-21
- Certified
- 2024-03-21
Frequently asked questions
- What is Peninsula Plastic Surgery Medical Group Inc's NPI number?
- Peninsula Plastic Surgery Medical Group Inc's National Provider Identifier (NPI) is 1902666324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peninsula Plastic Surgery Medical Group Inc?
- Peninsula Plastic Surgery Medical Group Inc is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Peninsula Plastic Surgery Medical Group Inc located?
- Peninsula Plastic Surgery Medical Group Inc's practice location on file with NPPES is 1750 El Camino Real Ste 405, Burlingame, CA 94010-3217.
- What is Peninsula Plastic Surgery Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Peninsula Plastic Surgery Medical Group Inc is (650) 692-0467.
- Does Peninsula Plastic Surgery Medical Group Inc accept Medicare?
- Peninsula Plastic Surgery Medical Group 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 Plastic Surgery Medical Group Inc?
- The authorized official listed on Peninsula Plastic Surgery Medical Group Inc's NPPES record is Michelle Butler, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peninsula Plastic Surgery Medical Group Inc's NPI active?
- Yes — Peninsula Plastic Surgery Medical Group Inc's NPI (1902666324) is active in the NPPES registry as of the last update on 2024-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.