San Mateo Rheumatology Inc.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

SAN MATEO RHEUMATOLOGY INC.

Practice address

101 S San Mateo Dr
Suite 307
San Mateo, CA 94401-3819

Phone

(650) 348-6011

Fax

(650) 348-6027

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Michael P Stevens, MDNPI 1932198793

Title

President

Phone

(650) 348-6011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Popkin Stevens, M.D.

  • Rheumatology Physician
  • San Mateo, CA
  • NPI 1932198793
  Medicare reassignment Care Compare group NPD Authorized official
• Bryan D Gescuk, M.D.

  • Rheumatology Physician
  • San Mateo, CA
  • NPI 1295815579
  Medicare reassignment Care Compare group NPD
• Paul Shiu

  • Rheumatology Physician
  • San Mateo, CA
  • NPI 1508495433
  Medicare reassignment Care Compare group NPD
• Rhonda Elaine Lambert, MD

  • Rheumatology Physician
  • San Mateo, CA
  • NPI 1942230230
  Medicare reassignment NPD
• Kimberlee Kay Walsh, MPAS, PA-C

  • Physician Assistant
  • Santa Cruz, CA
  • NPI 1831412659
  Medicare reassignment

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1104201334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "SUITE 307",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013819",
            "telephone_number": "650-348-6011",
            "fax_number": "650-348-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "SUITE 307",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013819",
            "telephone_number": "650-348-6011",
            "fax_number": "650-348-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO RHEUMATOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-348-6011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Mateo Medical Center
• San Mateo Medical Centerr
• San Mateo Orthopedic Medical Group Inc
• San Mateo Physical Therapy Center
• San Mateo Psychological Services
• San Mateo Spine Center a Medical Corporation
• San Mateo Surgery Center
• San Mateo Surgery Center LLC
• San Mateo Union High School District
• San Mateo-Foster City School District

• Rheumatology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.