COUNTY OF SAN MATEO (NPI# 1568561058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568561058 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SAN MATEO |
| Other Organization Name | CANYON OAKS YOUTH CENTER |
| Practice Address |
400 Edmonds Rd Redwood City CA 94062 |
| Mailing Address |
400 Edmonds Rd Redwood City CA 94062-3803 |
| Practice Telephone | 6508391810 |
| Mailing Telephone | 6508391810 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | SCOTT GILMAN (DIRECTOR) |
| Authorized Official Telephone | 6505732748 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN MATEO COUNTY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Canyon Oaks Youth Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1427242163 | County of San Mateo | Community/Behavioral Health | 2000 Alameda De Las Pulgas Ste 280, San Mateo, CA 94403-1289 | 2007-09-05 |
| 1568540557 | County of San Mateo | Clinic/Center | 200 James Ave, Redwood City, CA 94062-5123 | 2006-11-01 |
| 1023196011 | County of San Mateo | Clinic/Center | 350 90th Street, Daly City, CA 94015-1634 | 2006-11-01 |
| 1215029087 | County of San Mateo | Clinic/Center | 300 Piedmont Ave, San Bruno, CA 94066-3959 | 2006-09-29 |
| 1811089659 | County of San Mateo | Clinic/Center | 825 Southwood Dr, South San Francisco, CA 94080-3106 | 2006-09-29 |
| 1215029079 | County of San Mateo | Clinic/Center | 199 Churchill Ave, Woodside, CA 94062-1151 | 2006-09-29 |
| 1700978574 | County of San Mateo | Clinic/Center | 699 Serramonte Blvd, Room 300, Daly City, CA 94015-4132 | 2006-09-29 |
| Street Address |
400 EDMONDS RD |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720558448 | Damon William Jones | Counselor | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2018-11-26 |
| 1952879488 | Claudia Gabriela Benitez | Counselor | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2018-11-02 |
| 1003383571 | Remberto Calero Jr. | Counselor | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2018-11-01 |
| 1831617331 | Iris Godinez | Marriage & Family Therapist | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2017-09-05 |
| 1699223297 | Lauren Caraotta | Counselor | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2016-09-13 |
| 1750712022 | Isabel Araceli Cabezas | Student in an Organized Health Care Education/Training Program | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2013-12-11 |
| 1356637144 | Brian Deburr | Counselor | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2011-06-21 |
| 1790006740 | Lee Keenan | Counselor | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2010-06-14 |
| 1215255963 | Pedro Hernandez | Counselor | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2010-05-05 |
| 1285959197 | Bernadette Ruth Rivero | Counselor | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2010-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051803 | Birch Clinic Corporation | Acupuncturist | 39b Birch St, Redwood City, CA 94062 | 2019-12-26 |
| 1376084459 | Sneha Kadkol | Physical Therapist | 2944 Broadway Street, Redwood City, CA 94062 | 2017-03-09 |
| 1376081166 | B. Annye Rothenberg | Psychologist | 3943 Jefferson Ave., Emerald Hills, CA 94062 | 2017-02-01 |
| 1922410406 | Sheree Campbell | Psychologist | 40a Corto Ln, Woodside, CA 94062 | 2014-06-02 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1386938264 | Julie Freschi | Physical Therapist | 3674 Sand Hill Rd, Woodside, CA 94062 | 2011-06-08 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1396041208 | Arch Street Medical Associates | General Practice | 143 Birch Street, Redwood City, CA 94062 | 2011-02-10 |
| 1174843916 | Priyasheelta Nand | Internal Medicine | 2950 Whipple Avenue, Suite 3, Redwood City, CA 94062 | 2010-06-03 |
| Find all providers in zip 94062 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023569357 | Catch Clinic | Community/Behavioral Health | 1694 Hampton Ave, Redwood City, CA 94061-2607 | 2016-10-21 |
| 1841566718 | Mental Health Association of San Mateo County | Community/Behavioral Health | 104 Cedar St, Redwood City, CA 94063-2104 | 2012-03-26 |
| 1093095150 | Starvista | Community/Behavioral Health | 609 Price Ave Ste 201, Redwood City, CA 94063-1403 | 2011-08-22 |
| 1467627034 | Redeemer Lutheran Church | Community/Behavioral Health | 468 Grand St, Redwood City, CA 94062-2062 | 2008-04-24 |
| 1356951750 | Christina Lansdown Marriage and Family Therapy | Community/Behavioral Health | 1060 El Camino Real Ste H, Redwood City, CA 94063-1645 | 2020-07-31 |
| 1508495532 | Medexpert International, Inc. | Community/Behavioral Health | 1300 Hancock St, Redwood City, CA 94063-2809 | 2020-04-02 |
| 1457807810 | Adolescent Counseling Services | Community/Behavioral Health | 643 Bair Island Rd, #301, Redwood City, CA 94063-2754 | 2016-08-26 |
| 1003269994 | Edgewood Center for Children and Families | Community/Behavioral Health | 604 Price Ave, Suite A and B, Redwood City, CA 94063 | 2016-07-15 |
| 1528432481 | San Mateo County Behavioral Health and Recovery Services | Community/Behavioral Health | 727 Shasta St, Redwood City, CA 94063-2124 | 2015-11-16 |
| 1336413947 | Compass | Community/Behavioral Health | 617 Veterans Blvd Ste 204, Redwood City, CA 94063-1419 | 2012-02-28 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94062 |
Please comment or provide details below to improve the information on COUNTY OF SAN MATEO.
| 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.