SAN MATEO COUNTY (NPI# 1063692762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063692762 |
| Entity Type | Organization |
| Organization Name | SAN MATEO COUNTY |
| Other Organization Name | SAN MATEO COUNTY TCM |
| Practice Address |
2000 Alameda De Las Pulgas Ste 235 San Mateo CA 94403-1269 |
| Practice Telephone | 6505732517 |
| Practice Fax Number | 6505738939 |
| Mailing Telephone | 6505732517 |
| Mailing Fax Number | 6505738939 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2013-12-10 |
| Authorized Official Name | MS. KIM PIJMA (IT SPECIALIST) |
| Authorized Official Telephone | 6505732517 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN MATEO MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1063692762 | 05 |
| Other Name | Type Code |
|---|---|
| San Mateo County TCM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619155942 | San Mateo County | Community Based Residential Treatment Facility, Mental Illness | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2008-02-08 |
| 1104978840 | San Mateo County | Public Health or Welfare | 795 Willow Rd, Bldg 332, Menlo Park, CA 94025-2539 | 2007-01-16 |
| 1912076662 | San Mateo County | Clinic/Center | 630 Laurel St, Suite A, Redwood City, CA 94063-2977 | 2006-11-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAN MATEO COUNTY HEALTH SYSTEM | 225 W 39th Ave, San Mateo, CA 94403-4361 |
| System for Award Management (SAM) Entities | SAN MATEO COUNTY LIBRARY | 125 Lessingia Ct, San Mateo, CA 94402-4065 |
| System for Award Management (SAM) Entities | SAN MATEO COUNTY RESOURCE CONSERVATION DISTRICT | 625 Miramontes St Ste 103, Half Moon Bay, CA 94019-1942 |
| System for Award Management (SAM) Entities | SAN MATEO COUNTY SUPERIOR COURT | 400 County Ctr, Redwood City, CA 94063-1662 |
| System for Award Management (SAM) Entities | SAN MATEO COUNTY SUPRINTENDENT OF SCHOOLS | 101 Twin Dolphin Dr, Redwood City, CA 94065-1064 |
| System for Award Management (SAM) Entities | SAN MATEO COUNTY TRANSIT DISTRICT | 1250 San Carlos Ave, San Carlos, CA 94070-2468 |
| Street Address |
2000 ALAMEDA DE LAS PULGAS STE 235 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-1269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336231646 | County of San Mateo | Clinic/Center | 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 | 2006-09-28 |
| 1629696265 | Kelsey Nichole Weiss | Student in an Organized Health Care Education/Training Program | 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 | 2020-07-09 |
| 1326668625 | Kristine Averilla | Case Manager/Care Coordinator | 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 | 2020-04-16 |
| 1245850536 | Zylmira Ivonne Garcia | Registered Nurse | 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 | 2020-04-16 |
| 1538791744 | Priscilla Morrison | Clinical Neuropsychologist | 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 | 2020-02-05 |
| 1184289290 | Mark F Kunkel | Counselor | 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 | 2019-05-03 |
| 1053876250 | Kristen Eduviges Burger | Counselor | 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 | 2019-02-01 |
| 1700364155 | Rose Marie Palos Kessler | Counselor | 2000 Alameda De Las Pulgas, San Mateo, CA 94403 | 2018-07-29 |
| 1245757863 | Janice Jean Fernandez | Community Health Worker | 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 | 2017-08-24 |
| 1255869723 | Bushra Admani Mohamed Iqbal | Marriage & Family Therapist | 2000 Alameda De Las Pulgas, Suite 200, San Mateo, CA 94403 | 2017-05-30 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386046571 | San Mateo County-family Health Services | Case Management | 2000 Alameda De Las Pulgas Ste 235, San Mateo, CA 94403-1269 | 2014-09-19 |
| 1992935506 | Jennifer Marie Bruha | Case Management | 3521 Casanova Dr, San Mateo, CA 94403-2908 | 2009-07-16 |
| 1144871682 | Enara Health | Case Management | 1650 S Amphlett Blvd Ste 115, San Mateo, CA 94402-2514 | 2019-09-26 |
| 1194983957 | San Mateo County Family Health Services | Case Management | 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687627 | Rosa Blue Hospice . Inc | Case Management | 6400 E Washington Blvd # 101, Commerce, CA 90040-1820 | 2020-10-21 |
| 1336747013 | Advanced Healthcare Administration | Case Management | 124 N Tustin Ave, Anaheim, CA 92807-2764 | 2020-10-14 |
| 1760080691 | Primocare, LLC | Case Management | 1 Embarcadero Ctr Ste 400, San Francisco, CA 94111-3619 | 2020-10-13 |
| 1184222044 | Shs Senior Care Los Angeles Inc | Case Management | 8939 S Sepulveda Blvd Ste 350, Los Angeles, CA 90045-3657 | 2020-10-13 |
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1407463961 | Helping Hands Inspire Happy Hearts, LLC | Case Management | 7083 Hollywood Blvd Ste 4069, Los Angeles, CA 90028-8901 | 2020-09-29 |
| 1487272688 | Caring About Lives | Case Management | 4197 4th Ave, Los Angeles, CA 90008-3901 | 2020-07-14 |
| 1679191977 | Modiv Health LLC. | Case Management | 1195 Linda Vista Dr Ste H, San Marcos, CA 92078-3824 | 2020-07-13 |
| 1104442805 | Tanya &steve Professional Services Inc | Case Management | 11123 Lemay St, North Hollywood, CA 91606-2008 | 2020-06-18 |
| 1740805100 | Dhruv Manchala | Case Management | 13970 Albar Ct, Saratoga, CA 95070-9718 | 2020-06-11 |
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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.