SAN MATEO MEDICAL CENTER (NPI# 1578638904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578638904 |
| Entity Type | Organization |
| Organization Name | SAN MATEO MEDICAL CENTER |
| Practice Address |
222 W 39th Ave San Mateo CA 94403-4364 |
| Practice Telephone | 6505732222 |
| Mailing Telephone | 6505732222 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KRIS ROZZI (REIUMBURSEMENT) |
| Authorized Official Telephone | 6505732120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DELTA DENTAL | G98080-04 | 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 |
222 W 39TH AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683789 | Diana V Jao | Internal Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2005-07-20 |
| 1306465125 | Rennie Burke | Student in an Organized Health Care Education/Training Program | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-04-11 |
| 1447887856 | Michelle Wong | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-03-25 |
| 1508406398 | Alexandria Vanessa Perez | Counselor | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2020-01-09 |
| 1275197899 | Connie Chen | General Practice | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2019-04-29 |
| 1063075596 | Jiaochen Ke | General Practice | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2019-04-19 |
| 1952877524 | Asmi Mehta | Physical Therapist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-10-22 |
| 1649753427 | Ariane Beck | Emergency Medicine | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-09-08 |
| 1114408176 | Matthew Tyler Sachs | Registered Nurse | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-08-27 |
| 1679066047 | Niloofar Zabihi | Pharmacist | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2018-06-11 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075350 | Xuyu Zhang, Dds, Inc | Clinic/Center | 406 N San Mateo Dr Ste B, San Mateo, CA 94401-2418 | 2020-02-18 |
| 1437587078 | Jane Vu Ferrera Dds | Clinic/Center | 341 N San Mateo Dr Ste 1, San Mateo, CA 94401-2513 | 2013-10-17 |
| 1275908253 | Nazareth Dental | Clinic/Center | 800 S B St Ste 200, San Mateo, CA 94401-4273 | 2015-12-02 |
| 1205228830 | Apple Tree Dental California, LLC | Clinic/Center | 430 N El Camino Real, San Mateo, CA 94401-3710 | 2015-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
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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.