SAN MATEO MEDICAL CENTER (NPI# 1093973851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093973851 |
| Entity Type | Organization |
| Organization Name | SAN MATEO MEDICAL CENTER |
| Practice Address |
630 Laurel St Suite A Redwood City CA 94063-2977 |
| Mailing Address |
222 W 39th Ave San Mateo CA 94403-4364 |
| Practice Telephone | 6507010331 |
| Mailing Telephone | 6505732222 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | KRIS ROZZI (DIRECTOR PFS) |
| Authorized Official Telephone | 6505732120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 220000015 | CA | Hospitals |
| 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 |
| 1215195060 | San Mateo Medical Center | General Acute Care Hospital | 200 James Ave, Redwood City, CA 94062-5123 | 2008-05-29 |
| Street Address |
630 LAUREL ST SUITE A |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720040322 | Mirta C Delgado | Pediatrics | 630 Laurel St, Redwood City, CA 94063-2977 | 2006-04-06 |
| 1619116092 | Constance Mckeown Evans | Nurse Practitioner | 630 Laurel St, Redwood City, CA 94063-2977 | 2009-02-09 |
| 1821233958 | San Mateo Medical Center | Clinic/Center | 630 Laurel St, Redwood City, CA 94063-2977 | 2008-12-03 |
| 1437201670 | Kathleen Cooke Harris | Nurse Practitioner | 630 Laurel St, Redwood City, CA 94063-2977 | 2007-01-17 |
| 1912076662 | San Mateo County | Clinic/Center | 630 Laurel St, Suite A, Redwood City, CA 94063-2977 | 2006-11-07 |
| 1710066170 | Maureen Moh Yuh Lin | Marriage & Family Therapist | 630 Laurel St, Redwood City, CA 94063-2977 | 2006-11-04 |
| 1659300085 | San Mateo County Medical Center | Clinic/Center | 630 Laurel St, Redwood City, CA 94063-2977 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679816664 | Jariya Keeler | General Acute Care Hospital | 707 Leahy Street Apartments #319, Redwood City, CA 94304 | 2013-03-28 |
| 1366712861 | Stanford University Medical Center | General Acute Care Hospital | 450 Broadway St, Pavilion C, Mc 6342, Redwood City, CA 94063-3132 | 2011-12-31 |
| 1306005459 | Sequoia Hospital | General Acute Care Hospital | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2008-06-04 |
| 1568620318 | San Mateo Medical Center | General Acute Care Hospital | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2008-05-29 |
| 1215195060 | San Mateo Medical Center | General Acute Care Hospital | 200 James Ave, Redwood City, CA 94062-5123 | 2008-05-29 |
| 1568646735 | Dignity Community Care | General Acute Care Hospital | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2007-12-24 |
| 1558439976 | Kaiser Permanente | General Acute Care Hospital | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-12-01 |
| 1386714814 | Kaiser Foundation Hospitals | General Acute Care Hospital | 1100 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-09 |
| 1235172057 | Sequoia Health Services | General Acute Care Hospital | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
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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.