NPIMap

Organization Active NPI

County of San Mateo

Doing business as San Mateo Medical Center

  • Federally Qualified Health Center (FQHC)
  • Menlo Park, CA
National Provider Identifier
1023197944
Registry record updated Jun 26, 2008
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
San Mateo Medical Center
Practice address
795 Willow Rd
BLDG 334
Menlo Park, CA 94025-2539
Phone
(650) 599-3890
NPI assigned
Nov 2, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SAN MATEOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Kris Rozzi
Title
Reimbursement
Phone
(650) 573-2120

Specialties & licenses 1

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

Addresses

Primary practice location

795 Willow Rd
BLDG 334
Menlo Park, CA 94025-2539

Mailing address

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

Other names 1

  • San Mateo Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Mateo Medical Center Methadone Treatment Program123 organizations share this tax ID, including this one
Part of
San Mateo Medical Center Methadone Treatment Program

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

795 Willow Rd
Bldg 334
West Menlo Park, CA 94025
Phone (650) 599-3890

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1023197944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W 39TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034364",
            "telephone_number": "650-573-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD",
            "address_2": "BLDG 334",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "650-599-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN MATEO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SAN MATEO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ROZZI",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "REIMBURSEMENT",
        "authorized_official_telephone_number": "650-573-2120"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Mateo Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.