COUNTY OF SAN MATEO (NPI# 1609812148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609812148 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SAN MATEO |
| Other Organization Name | SAN MATEO MEDICAL CENTER |
| Practice Address |
306 Spruce Ave South San Francisco CA 94080-2741 |
| Mailing Address |
222 W 39th Ave San Mateo CA 94403-4364 |
| Practice Telephone | 6505732120 |
| Mailing Telephone | 6505732120 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | KRIS ROZZI (REIMBURSEMENT) |
| Authorized Official Telephone | 6505732120 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SAN MATEO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ08837Z | 01 |
| CA | GR0028887 | 05 |
| Other Name | Type Code |
|---|---|
| San Mateo Medical 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 |
306 SPRUCE AVE |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799972 | Derrick Martin Jr. | Rehabilitation Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2020-10-28 |
| 1124635925 | Jenny Punzalan Jover | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2020-09-25 |
| 1861968323 | Vicken Harout Balian | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2018-10-22 |
| 1457885428 | Cyndy Sweet | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2017-04-17 |
| 1679007876 | Charles Tyson | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2017-04-13 |
| 1245781798 | Jimmy Yang Liang | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2016-10-19 |
| 1093268500 | Sandra Gomez | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2016-08-01 |
| 1285044628 | Joseph A. Wagenhofer | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2014-05-07 |
| 1154753861 | Jaime Hernandez | Community/Behavioral Health | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2013-08-05 |
| 1245582618 | Debbie Madden | Counselor | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710161476 | San Mateo Medical Center | Clinic/Center | 306 Spruce Ave, South San Francisco, CA 94080-2741 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878117 | Cameron S Francis Md Inc | Clinic/Center | 1431 Camino Del Mar, Del Mar, CA 92014-2509 | 2020-10-15 |
| 1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
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.