SAN MATEO COUNTY MEDICAL CENTER (NPI# 1659300085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659300085 |
| Entity Type | Organization |
| Organization Name | SAN MATEO COUNTY MEDICAL CENTER |
| Practice Address |
630 Laurel St Redwood City CA 94063-2977 |
| Mailing Address |
222 W 39th Ave San Mateo CA 94403-4364 |
| Practice Telephone | 6505732120 |
| Mailing Telephone | 6505732120 |
| Enumeration Date | 2006-06-30 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FQHC PROVIDER # | FHC80183W | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881625358 | San Mateo County Medical Center | Clinic/Center | 380 90th St, Daly City, CA 94015-1807 | 2006-07-05 |
| 1265829501 | San Mateo County Medical Center | General Acute Care Hospital | 380 90th St, Daly City, CA 94015-1807 | 2015-04-24 |
| 1851317929 | San Mateo County Medical Center | General Acute Care Hospital | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-07-14 |
| 1235172875 | San Mateo County Medical Center | Clinic/Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-06-13 |
| Street Address |
630 LAUREL ST |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720040322 | Mirta C Delgado | Pediatrics | 630 Laurel St, Redwood City, CA 94063-2977 | 2006-04-06 |
| 1619116092 | Constance Mckeown Evans | Nurse Practitioner | 630 Laurel St, Redwood City, CA 94063-2977 | 2009-02-09 |
| 1821233958 | San Mateo Medical Center | Clinic/Center | 630 Laurel St, Redwood City, CA 94063-2977 | 2008-12-03 |
| 1093973851 | San Mateo Medical Center | General Acute Care Hospital | 630 Laurel St, Suite A, Redwood City, CA 94063-2977 | 2008-05-29 |
| 1437201670 | Kathleen Cooke Harris | Nurse Practitioner | 630 Laurel St, Redwood City, CA 94063-2977 | 2007-01-17 |
| 1912076662 | San Mateo County | Clinic/Center | 630 Laurel St, Suite A, Redwood City, CA 94063-2977 | 2006-11-07 |
| 1710066170 | Maureen Moh Yuh Lin | Marriage & Family Therapist | 630 Laurel St, Redwood City, CA 94063-2977 | 2006-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 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 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568540557 | County of San Mateo | Clinic/Center | 200 James Ave, Redwood City, CA 94062-5123 | 2006-11-01 |
| 1912076662 | San Mateo County | Clinic/Center | 630 Laurel St, Suite A, Redwood City, CA 94063-2977 | 2006-11-07 |
| 1386728533 | County of San Mateo | Clinic/Center | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
Please comment or provide details below to improve the information on SAN MATEO COUNTY MEDICAL CENTER.
| 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.