SAN MATEO COUNTY (NPI# 1912076662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912076662 |
| Entity Type | Organization |
| Organization Name | SAN MATEO COUNTY |
| Practice Address |
630 Laurel St Suite A Redwood City CA 94063-2977 |
| Mailing Address |
222 W 39th Ave San Mateo CA 94403-4364 |
| Practice Telephone | 6502613710 |
| Mailing Telephone | 6505732222 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-08-26 |
| Authorized Official Name | KRIS ROZZI (REIMBURSEMENT) |
| Authorized Official Telephone | 6505732120 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN MATEO MEDICAL CENTER |
| 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 | FHC80187F | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619155942 | San Mateo County | Community Based Residential Treatment Facility, Mental Illness | 400 Edmonds Rd, Redwood City, CA 94062-3803 | 2008-02-08 |
| 1063692762 | San Mateo County | Case Management | 2000 Alameda De Las Pulgas, Ste 235, San Mateo, CA 94403-1269 | 2007-11-09 |
| 1104978840 | San Mateo County | Public Health or Welfare | 795 Willow Rd, Bldg 332, Menlo Park, CA 94025-2539 | 2007-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAN MATEO COUNTY HEALTH SYSTEM | 225 W 39th Ave, San Mateo, CA 94403-4361 |
| System for Award Management (SAM) Entities | SAN MATEO COUNTY LIBRARY | 125 Lessingia Ct, San Mateo, CA 94402-4065 |
| System for Award Management (SAM) Entities | SAN MATEO COUNTY RESOURCE CONSERVATION DISTRICT | 625 Miramontes St Ste 103, Half Moon Bay, CA 94019-1942 |
| System for Award Management (SAM) Entities | SAN MATEO COUNTY SUPERIOR COURT | 400 County Ctr, Redwood City, CA 94063-1662 |
| System for Award Management (SAM) Entities | SAN MATEO COUNTY SUPRINTENDENT OF SCHOOLS | 101 Twin Dolphin Dr, Redwood City, CA 94065-1064 |
| System for Award Management (SAM) Entities | SAN MATEO COUNTY TRANSIT DISTRICT | 1250 San Carlos Ave, San Carlos, CA 94070-2468 |
| Street Address |
630 LAUREL ST SUITE A |
| 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 |
| 1710066170 | Maureen Moh Yuh Lin | Marriage & Family Therapist | 630 Laurel St, Redwood City, CA 94063-2977 | 2006-11-04 |
| 1659300085 | San Mateo County Medical Center | Clinic/Center | 630 Laurel St, Redwood City, CA 94063-2977 | 2006-06-30 |
| 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 |
| 1386728533 | County of San Mateo | Clinic/Center | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | 2006-10-24 |
| 1659300085 | San Mateo County Medical Center | Clinic/Center | 630 Laurel St, Redwood City, CA 94063-2977 | 2006-06-30 |
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| 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.
| 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.