NPIMap

Organization Active NPI

Smccd

  • Health Service Clinic/Center
  • San Mateo, CA
National Provider Identifier
1063604734
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
NP14521 Issued in CA
Legal business name
SMCCD
Practice address
1700 W Hillsdale Blvd
San Mateo, CA 94402-3757
Phone
(650) 574-6396
Fax
(650) 574-6259
NPI assigned
Aug 15, 2007
Last updated
Aug 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Mr. Harry Joel
Title
Vice Chancellor
Phone
(650) 358-6767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NP14521 CA Primary
Health Service Clinic/Center 261QH0100X NP 14521 CA

Addresses

Primary practice location

1700 W Hillsdale Blvd
San Mateo, CA 94402-3757

Mailing address

1700 W Hillsdale Blvd
San Mateo, CA 94402-3757
Phone (650) 574-6396

National Provider Directory

National Provider Directory
Tax ID family
Smccd3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1700 W Hillsdale Blvd
San Mateo, CA 94402
Phone (650) 574-6396

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1063604734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W HILLSDALE BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023757",
            "telephone_number": "650-574-6396",
            "fax_number": "650-574-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W HILLSDALE BLVD",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023757",
            "telephone_number": "650-574-6396",
            "fax_number": "650-574-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMCCD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "JOEL",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "VICE CHANCELLOR",
        "authorized_official_telephone_number": "650-358-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "NP14521",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "NP 14521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.