SAN MATEO MEDICAL CENTER (NPI# 1528120151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528120151 |
Entity Type | Organization |
Organization Name | SAN MATEO MEDICAL CENTER |
Practice Address |
380 90th St Daly City CA 94015-1807 |
Mailing Address |
222 W 39th Ave San Mateo CA 94403-4364 |
Practice Telephone | 6503018600 |
Mailing Telephone | 6505732222 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PACT | HAP70620F | 01 |
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 |
380 90TH ST |
City | DALY CITY |
State | CA |
Zip Code | 94015-1807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881625358 | San Mateo County Medical Center | Clinic/Center | 380 90th St, Daly City, CA 94015-1807 | 2006-07-05 |
1659729978 | Monica Chan | Pharmacist | 380 90th St, Daly City, CA 94015-1807 | 2016-05-26 |
1265829501 | San Mateo County Medical Center | General Acute Care Hospital | 380 90th St, Daly City, CA 94015-1807 | 2015-04-24 |
1467858290 | Sarah Ree | Nurse Practitioner | 380 90th St, Daly City, CA 94015-1807 | 2014-11-05 |
1598191207 | Grace Ko | Nurse Practitioner | 380 90th St, Daly City, CA 94015-1807 | 2013-09-26 |
1205186228 | Amanda Elizabeth Collison | Nurse Practitioner | 380 90th St, Daly City, CA 94015-1807 | 2012-09-17 |
1528330933 | Charlene Truong | Nurse Practitioner | 380 90th St, Daly City, CA 94015-1807 | 2012-01-31 |
1316225873 | Sheng Hsu | Nurse Practitioner | 380 90th St, Daly City, CA 94015-1807 | 2011-08-01 |
1366600124 | San Mateo Medical Center | General Acute Care Hospital | 380 90th St, Daly City, CA 94015-1807 | 2008-05-29 |
1215146014 | San Mateo Medical Center | General Acute Care Hospital | 380 90th St, Daly City, CA 94015-1807 | 2007-05-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881235901 | Fast Express Ride Inc | Non-emergency Medical Transport (VAN) | 381 Westlake Ctr # 292, Daly City, CA 94015 | 2019-09-30 |
1598231888 | National Vision Inc | Technician/Technologist | 148a Serramonte Center, Daly City, CA 94015 | 2018-10-15 |
1174017313 | Glaiza Cecilia S Canares | Student in an Organized Health Care Education/Training Program | 255 Dennis Drive, Daly City, CA 94015 | 2018-06-20 |
1154869477 | Noah Bautista | Massage Therapist | 151 87th St Suite 4, Daly City, CA 94015 | 2017-02-07 |
1417387291 | Accuquest Hearing Centers | Clinic/Center | 10 Park Plaza Dr., Daly City, CA 94015 | 2013-11-15 |
1801193800 | Carol Crane | Physical Therapy Assistant | 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 | 2011-02-28 |
1366753808 | Emerito Cesar C Nunag | Physical Therapy Assistant | 595 Clarinada Avenue #2, Daly City, CA 94015 | 2010-06-30 |
1356668016 | Lauren Rose Hendrick | Marriage & Family Therapist | 355 Gellert Blvd Suite 280, Daly City, CA 94015 | 2010-04-21 |
1205061868 | Isabel A. Walsh | General Practice | 783 Skyline Dr., Daly City, CA 94015 | 2009-05-26 |
1790933539 | Frank Geoffrey Yeh | Dentist | 1440 Southgate Ave., Daly City, CA 94015 | 2008-09-05 |
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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 |
---|---|---|---|---|
1245276716 | County of San Mateo | Clinic/Center | 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 | 2006-06-21 |
1467004770 | Kpc Global Medical Center of San Mateo County LLC | Clinic/Center | 1900 Sullivan Ave, Daly City, CA 94015-2200 | 2019-07-16 |
1548641939 | Tony Lee Wong, Md., Inc. | Clinic/Center | 1800 Sullivan Ave Rm 104, Daly City, CA 94015-2227 | 2015-06-11 |
1336565480 | Christian Bocobo M.d. Professional | Clinic/Center | 1850 Sullivan Ave, Suite 310, Daly City, CA 94015-2221 | 2014-03-13 |
1588957401 | Sound Pediatrics | Clinic/Center | 333 Gellert Blvd, Suite 229, Daly City, CA 94015-2621 | 2011-05-25 |
1720130412 | St. Elizabeth Ann Seton New Life Center | Clinic/Center | 1500 Southgate Ave, Suite 112, Daly City, CA 94015-2259 | 2007-01-16 |
1003913971 | Pediahealth Medical Group, Inc. | Clinic/Center | 901 Campus Dr, Suite 210, Daly City, CA 94015-4900 | 2006-09-20 |
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1306447941 | Bedford Breast Surgeons | Clinic/Center | 436 North Bedford Drive, Suite 105, Beverly Hills, CA 90210-4323 | 2020-11-02 |
1538767082 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-15 |
1225636855 | Optimum Wellness and Weight Loss | Clinic/Center | 910 S El Camino Real Ste 100, San Clemente, CA 92672-4279 | 2020-10-15 |
1932707700 | Body By Design Wellness and Massage Clinic, Inc. | Clinic/Center | 3625 E Thousand Oaks Blvd Ste 215216, Westlake Village, CA 91362-3626 | 2020-10-14 |
1639786189 | Rams Ppe | Clinic/Center | 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 | 2020-09-29 |
1720695729 | Vila Facial Plastic Surgery | Clinic/Center | 1000 S Eliseo Dr Ste 203, Greenbrae, CA 94904-2151 | 2020-09-24 |
1902410442 | Hope Elementary School District | Clinic/Center | 3970 La Colina Rd Ste 14, Santa Barbara, CA 93110-1596 | 2020-09-02 |
1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
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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.