NPIMap

Organization Active NPI

County of San Mateo

Doing business as Daly City Youth Hlth Ctr

  • Federally Qualified Health Center (FQHC)
  • Daly City, CA
National Provider Identifier
1023196011
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF SAN MATEO
Doing business as
Daly City Youth Hlth Ctr
Practice address
350 90TH Street
Daly City, CA 94015-1634
Phone
(650) 985-7000
Fax
(605) 301-8626
NPI assigned
Nov 1, 2006
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Papa
Title
Chief Financial Officer
Phone
(650) 573-2613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

350 90TH Street
Daly City, CA 94015-1634

Mailing address

222 39TH Avenue
San Mateo, CA 94403-4364
Phone (650) 573-2222

Other identifiers 2

IdentifierTypeStateIssuer
FHC80181FOtherCAFQHC
FHC80181FMedicaidCA

Other names 1

  • Daly City Youth Hlth Ctr Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100903000488 CA Part A Provider - Hospital 9032023171 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Redwood City, CA; South San Francisco, CA; San Mateo, CA; Half Moon Bay, CA; Daly City, CA
O20161007001049 CA Part A Provider - Federally Qualified Health Center (FQHC) 9032023171 Practice locations: Daly City, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1023196011. Details of each certification follow.

Hospital certification: CCN 050113

Legal name
COUNTY OF SAN MATEO
Doing business as
SAN MATEO MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 15, 2024
Beds
103
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
222 W 39TH Ave
San Mateo, CA 94403-4364
Main/Primary Hospital Location
Hospital subgroups
Acute care

Federally qualified health center certification: CCN 751888

Legal name
COUNTY OF SAN MATEO
Doing business as
DALY CITY YOUTH HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 29, 2016
Last certification
Aug 29, 2016
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
350 90TH St
FL 3
Daly City, CA 94015-1879

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
San Mateo Medical CenterCCN 050113 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

350 90th St
Daly City, CA 94015
Phone (650) 301-8650

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Papa Individual W-2 Managing EmployeeChief Financial Officer Oct 14, 2014
Operational/Managerial ControlChief Financial Officer Oct 14, 2014
W-2 Managing EmployeeChief Financial Officer Jul 6, 2025
Operational/Managerial ControlChief Financial Officer Jul 6, 2025
David S McGrew Individual W-2 Managing EmployeeInterim Cfo May 28, 2014
W-2 Managing EmployeeInterim Chief Financial Officer May 28, 2014
Operational/Managerial ControlInterim Chief Financial Officer May 28, 2014
County of San Mateo Organization, San Mateo, CA 5% Or Greater Direct Ownership Interest Jul 1, 1966 100%
5% Or Greater Direct Ownership Interest Sep 10, 1966 100%

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • County of San Mateo

    dba San Mateo Medical Center

    • Psychiatric Hospital Unit
    • San Mateo, CA
    • NPI 1194894840

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • Daly City, CA
    • NPI 1265522619

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Public Health or Welfare Agency
    • San Mateo, CA
    • NPI 1306907928

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • General Acute Care Hospital
    • San Mateo, CA
    • NPI 1386713030

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • Redwood City, CA
    • NPI 1386728533

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • Redwood City, CA
    • NPI 1568540557

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Multi-Specialty Clinic/Center
    • San Mateo, CA
    • NPI 1679642326

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Long Term Care Hospital
    • San Mateo, CA
    • NPI 1710066634

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • South San Francisco, CA
    • NPI 1750460671

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Multi-Specialty Clinic/Center
    • San Mateo, CA
    • NPI 1780753434

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Multi-Specialty Clinic/Center
    • San Mateo, CA
    • NPI 1831268580

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • Half Moon Bay, CA
    • NPI 1841379765

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 14

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
San Mateo Medical CenterSan Mateo, CA, CCN 05S113 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
San Mateo Medical CenterSan Mateo, CA, CCN 050113 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
San Mateo Medical CenterSan Mateo, CA, CCN 555034 Skilled nursing facility 5% Or Greater Direct Ownership Interest (19%)
5% Or Greater Security Interest (19%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (19%)		 Jan 1, 1966
Jan 1, 1966
Jan 1, 1966
Jan 1, 1966
Jan 1, 1966
Daly City ClinicDaly City, CA, CCN 751906 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2016
Fair Oaks Health CenterRedwood City, CA, CCN 751887 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 10, 1966
39TH Avenue Clinics (Main Campus)San Mateo, CA, CCN 751904 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2016
Coastside ClinicHalf Moon Bay, CA, CCN 751898 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2016
Sequoia Teen Wellness CenterRedwood City, CA, CCN 751907 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2016
South San Francisco ClinicSouth San Francisco, CA, CCN 751905 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2016

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of San Mateo

    dba San Mateo Medical Center

    • General Acute Care Hospital
    • San Mateo, CA
    • NPI 1003985755

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Psychiatric Hospital Unit
    • San Mateo, CA
    • NPI 1194894840

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • Daly City, CA
    • NPI 1265522619

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • General Acute Care Hospital
    • San Mateo, CA
    • NPI 1386713030

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • Redwood City, CA
    • NPI 1386728533

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • Redwood City, CA
    • NPI 1568540557

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Long Term Care Hospital
    • San Mateo, CA
    • NPI 1710066634

    5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • South San Francisco, CA
    • NPI 1750460671

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • Half Moon Bay, CA
    • NPI 1841379765

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • San Mateo, CA
    • NPI 1932288859

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 218

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 218

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1023196011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 39TH AVENUE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034364",
            "telephone_number": "650-573-2222",
            "fax_number": "650-573-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 90TH STREET",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151634",
            "telephone_number": "650-985-7000",
            "fax_number": "605-301-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN MATEO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "PAPA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "650-573-2613"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC",
            "identifier": "FHC80181F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC80181F",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Daly City Youth Hlth Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.