SAN MATEO MEDICAL CENTER (NPI# 1013078641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013078641 |
| Entity Type | Organization |
| Organization Name | SAN MATEO MEDICAL CENTER |
| Practice Address |
222 W 39th Ave San Mateo CA 94403-4364 |
| Practice Telephone | 6505732222 |
| Mailing Telephone | 6505732222 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-09-13 |
| Authorized Official Name | KRIS ROZZI (REIMBURSEMENT) |
| Authorized Official Telephone | 6505732120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720261464 | San Mateo Medical Center | Clinic/Center | 225 South Cabrillo Highway, #100a, Half Moon Bay, CA 94019 | 2007-12-17 |
| 1043372170 | San Mateo Medical Center | Clinic/Center | 795 Willow Rd Bldg 344, Menlo Park, CA 94025-2539 | 2006-12-14 |
| 1053472688 | San Mateo Medical Center | Public Health or Welfare | 225 W 39th Ave, San Mateo, CA 94403-4361 | 2006-12-13 |
| 1528133584 | San Mateo Medical Center | Clinic/Center | 795 Willow Rd Bldg 3754, Menlo Park, CA 94025-2539 | 2006-11-22 |
| 1821233958 | San Mateo Medical Center | Clinic/Center | 630 Laurel St, Redwood City, CA 94063-2977 | 2008-12-03 |
| 1568620318 | San Mateo Medical Center | General Acute Care Hospital | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2008-05-29 |
| 1730347592 | San Mateo Medical Center | General Acute Care Hospital | 225 Cabrillo Hwy S, Suite 100a, Half Moon Bay, CA 94019-8200 | 2008-05-29 |
| 1366600124 | San Mateo Medical Center | General Acute Care Hospital | 380 90th St, Daly City, CA 94015-1807 | 2008-05-29 |
| 1295993046 | San Mateo Medical Center | General Acute Care Hospital | 795 Willow Rd, Bldg 334, Menlo Park, CA 94025-2539 | 2008-05-29 |
| 1093973851 | San Mateo Medical Center | General Acute Care Hospital | 630 Laurel St, Suite A, Redwood City, CA 94063-2977 | 2008-05-29 |
| Street Address |
222 W 39TH AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683789 | Diana V Jao | Internal Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2005-07-20 |
| 1306465125 | Rennie Burke | Student in an Organized Health Care Education/Training Program | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-04-11 |
| 1447887856 | Michelle Wong | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-03-25 |
| 1508406398 | Alexandria Vanessa Perez | Counselor | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-01-09 |
| 1275197899 | Connie Chen | General Practice | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2019-04-29 |
| 1063075596 | Jiaochen Ke | General Practice | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2019-04-19 |
| 1952877524 | Asmi Mehta | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-10-22 |
| 1649753427 | Ariane Beck | Emergency Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-09-08 |
| 1114408176 | Matthew Tyler Sachs | Registered Nurse | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-08-27 |
| 1679066047 | Niloofar Zabihi | Pharmacist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520061 | Zen Lounge Acupuncture Inc | Clinic/Center | 2996 S Norfolk St Ste F, San Mateo, CA 94403-2076 | 2019-04-03 |
| 1497186886 | Caminar | Clinic/Center | 416 2nd Ave, San Mateo, CA 94401 | 2013-12-10 |
| 1316235864 | Jnz Medical Group, LLC | Clinic/Center | 709a Woodside Way, San Mateo, CA 94401-1686 | 2011-07-19 |
| 1609004084 | Renew Life Center | Clinic/Center | 211 De Anza Blvd, San Mateo, CA 94402-3989 | 2009-06-24 |
| 1871701581 | Planned Parenthood Golden Gate | Clinic/Center | 2205 Palm Ave, San Mateo, CA 94403-1814 | 2007-05-18 |
| 1922019397 | Planned Parenthood Golden Gate | Clinic/Center | 2211 Palm Ave, San Mateo, CA 94403-1814 | 2006-08-11 |
| 1528685500 | Wholesome Medical Center | Clinic/Center | 100a S El Camino Real, San Mateo, CA 94401-3810 | 2020-06-25 |
| 1356843171 | Healthright 360 | Clinic/Center | 3701 Hacienda St, San Mateo, CA 94403-4366 | 2018-03-07 |
| 1144767021 | Shu Chiropractic and Associates Corporation | Clinic/Center | 407 N San Mateo Dr, Suite 5, San Mateo, CA 94401-2417 | 2017-01-30 |
| 1801141874 | Yuan Yi Acupuncture Clinic | Clinic/Center | 101 N El Camino Real, Suite 4, San Mateo, CA 94401-2700 | 2012-07-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.