COUNTY OF SAN MATEO (NPI# 1841369592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841369592 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SAN MATEO |
| Other Organization Name | SAN MATEO MEDICAL CENTER |
| Practice Address |
222 W 39th Ave San Mateo CA 94403-4364 |
| Practice Telephone | 6505733962 |
| Mailing Telephone | 6505733962 |
| Enumeration Date | 2006-11-07 |
| 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 | ZZZ93232Z | 01 |
| CA | GR0061320 | 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 |
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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774108 | Aleracare Medical Group of California | Clinic/Center | 101 S San Mateo Dr Ste 311, San Mateo, CA 94401-3844 | 2020-03-11 |
| 1417019548 | County of San Mateo | Clinic/Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-12-14 |
| 1528129152 | County of San Mateo | Clinic/Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-12-13 |
| 1831268580 | County of San Mateo | Clinic/Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-11-07 |
| 1740359496 | County of San Mateo | Clinic/Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-11-07 |
| 1659440303 | County of San Mateo | Clinic/Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-11-07 |
| 1477622124 | County of San Mateo | Clinic/Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-11-07 |
| 1780753434 | County of San Mateo | Clinic/Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-11-07 |
| 1679642326 | County of San Mateo | Clinic/Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-11-07 |
| 1215016126 | County of San Mateo | Clinic/Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-11-02 |
| Find all providers in SAN MATEO | ||||
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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.