SAN MATEO MEDICAL CENTER (NPI# 1790825107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790825107 |
| Entity Type | Organization |
| Organization Name | SAN MATEO MEDICAL CENTER |
| Practice Address |
225 37th Ave San Mateo CA 94403-4324 |
| Mailing Address |
222 W 39th Ave San Mateo CA 94403-4364 |
| Practice Telephone | 6505732222 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KRIS ROZZI (REIMBUURSEMENTQ) |
| Authorized Official Telephone | 6505732120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AYD000410 | 05 |
| 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 |
225 37TH AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770673584 | Jeannine Bleam Mealey | Counselor | 225 37th Ave, San Mateo, CA 94403-4324 | 2006-10-13 |
| 1376156299 | Danae Azevedo Duffy | Marriage & Family Therapist | 225 37th Ave, San Mateo, CA 94403-4324 | 2020-08-29 |
| 1134748361 | Ashley Shatola | Student in an Organized Health Care Education/Training Program | 225 37th Ave, San Mateo, CA 94403-4324 | 2020-04-08 |
| 1588202972 | Jeffrey Edgerton | Community Health Worker | 225 37th Ave, San Mateo, CA 94403-4324 | 2019-12-16 |
| 1881160653 | Joseph Mulero | Case Manager/Care Coordinator | 225 37th Ave, San Mateo, CA 94403-4324 | 2018-10-19 |
| 1124513924 | Jennifer Armstrong | Case Manager/Care Coordinator | 225 37th Ave, San Mateo, CA 94403-4324 | 2018-06-25 |
| 1801381827 | Alex Christian Parada | Case Manager/Care Coordinator | 225 37th Ave, San Mateo, CA 94403-4324 | 2018-06-22 |
| 1861986960 | Jan Christopher Allen | Case Manager/Care Coordinator | 225 37th Ave, San Mateo, CA 94403-4324 | 2018-06-21 |
| 1497249502 | Nicholas Garcia | Case Manager/Care Coordinator | 225 37th Ave, San Mateo, CA 94403-4324 | 2018-06-21 |
| 1295229250 | Nika Nachtsheim Rosen | Case Manager/Care Coordinator | 225 37th Ave, San Mateo, CA 94403-4324 | 2018-06-21 |
| 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 | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952784886 | Nitxies, LLC | Public Health or Welfare | 22 41st Ave, San Mateo, CA 94403-5106 | 2015-07-09 |
| 1053472688 | San Mateo Medical Center | Public Health or Welfare | 225 W 39th Ave, San Mateo, CA 94403-4361 | 2006-12-13 |
| 1538374855 | San Mateo County Health Department | Public Health or Welfare | 225 37th Ave, San Mateo, CA 94403-4324 | 2007-05-11 |
| 1306907928 | County of San Mateo | Public Health or Welfare | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-12-13 |
| 1821163114 | County of San Mateo - Public Health | Public Health or Welfare | 225 37th Ave, San Mateo, CA 94403-4324 | 2006-11-21 |
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| 1760048086 | Info Line of San Diego | Public Health or Welfare | 3860 Calle Fortunada Ste 101, San Diego, CA 92123-4802 | 2019-05-13 |
| 1629548615 | Mojo Enterprises Inc. | Public Health or Welfare | 1004 Emerson St, Palo Alto, CA 94301-2416 | 2018-12-03 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| 1215429188 | National Health Foundation | Public Health or Welfare | 515 S Figueroa St Ste 1300, Los Angeles, CA 90071-3300 | 2018-06-05 |
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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.