SAN MATEO COUNTY (NPI# 1104978840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104978840 |
| Entity Type | Organization |
| Organization Name | SAN MATEO COUNTY |
| Other Organization Name | SAN MATEO MEDICAL CENTER - WILLOW CLINIC |
| Practice Address |
795 Willow Rd Bldg 332 Menlo Park CA 94025-2539 |
| Mailing Address |
400 Harbor Blvd Building C Belmont CA 94002-4047 |
| Practice Telephone | 6505787190 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JUDITH DAVILA (AOD PROGRAM MANAGER) |
| Authorized Official Telephone | 6508025057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PROVIDER NUMBER | 4191 | 01 |
| Other Name | Type Code |
|---|---|
| San Mateo Medical Center - Willow Clinic | Other Name - Individual/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 |
| 1063692762 | San Mateo County | Case Management | 2000 Alameda De Las Pulgas, Ste 235, San Mateo, CA 94403-1269 | 2007-11-09 |
| 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 |
795 WILLOW RD BLDG 332 |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205899168 | Vivian Chan | Nurse Practitioner | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2006-04-10 |
| 1609481282 | Alyse Michele Gulack | Audiologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2020-09-10 |
| 1114571213 | Suzanne Deisher | Art Therapist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2019-07-26 |
| 1003473984 | Timothy J Avery | Psychologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2019-05-25 |
| 1093278483 | Jeane Bosch | Psychologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2019-04-11 |
| 1417436122 | Erin Elena Martinez | Psychologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2018-08-13 |
| 1619484961 | Tequila Webb | Social Worker | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2018-01-09 |
| 1952815987 | Melinda Sue Ward | Social Worker | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2017-11-29 |
| 1992218234 | Ashley Bauer | Psychologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2017-11-08 |
| 1740790898 | Julia Mwangi | Pharmacist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2017-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
| 1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
| 1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
| 1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
| 1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
| 1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
| 1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
| 1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
| Find all providers in zip 94025 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429390 | The Health Trust | Public Health or Welfare | 46 Race St, San Jose, CA 95126-3130 | 2020-08-26 |
| 1396365003 | Hr Support Inc | Public Health or Welfare | 6143 Mount Diablo Ct, Castro Valley, CA 94552-1948 | 2020-04-22 |
| 1811516610 | Fabian Sanchez | Public Health or Welfare | 1940 Nice Dr Apt 106, Corona, CA 92882-4584 | 2020-04-11 |
| 1528695319 | Central Coast Veterans Associates LLC | Public Health or Welfare | 1890 Diablo Drive, San Luis Obispo, CA 93405-4762 | 2020-03-24 |
| 1548893654 | Transitional Nutrition LLC | Public Health or Welfare | 741 Jackson St, Albany, CA 94706-1134 | 2020-02-17 |
| 1639723760 | Matthew Schultzel Do and Douglas Sullivan PC | Public Health or Welfare | 477 N El Camino Real Ste A308, Encinitas, CA 92024-1350 | 2019-07-26 |
| 1760048086 | Info Line of San Diego | Public Health or Welfare | 3860 Calle Fortunada Ste 101, San Diego, CA 92123-4802 | 2019-05-13 |
| 1629548615 | Mojo Enterprises Inc. | Public Health or Welfare | 1004 Emerson St, Palo Alto, CA 94301-2416 | 2018-12-03 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| 1215429188 | National Health Foundation | Public Health or Welfare | 515 S Figueroa St Ste 1300, Los Angeles, CA 90071-3300 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
| City | MENLO PARK |
| Zip Code | 94025 |
Please comment or provide details below to improve the information on SAN MATEO COUNTY.
| 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.