Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

South Drive Medical Clinic

Clinical Psychologist in Mountain View, CA · enumerated 2006 · authorized official Kenneth Peters, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043248560

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Registry record

Entity type Organization (Type 2)

Legal business name South Drive Medical Clinic

Practice address 515 S Drive, #15, Mountain View, CA, 94040

Phone (650) 961-9430

Enumeration date Jun 30, 2006

Last updated in NPPES Sep 11, 2025

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License PSY4724 (CA) Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License G33788 (CA) Secondary

Authorized official

Name Kenneth Peters

Title President

Phone (650) 961-9430

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is South Drive Medical Clinic located?

The practice location on file with NPPES is in Mountain View, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.