San Mateo Convalescent Hospital, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SAN MATEO CONVALESCENT HOSPITAL, INC

Practice address

453 N San Mateo Dr
San Mateo, CA 94401-2453

Phone

(650) 342-6255

Fax

(650) 342-4812

NPI assigned

Feb 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Patricia A Barnes

Title

Administrator

Phone

(650) 342-6255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114053220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012453",
            "telephone_number": "650-342-6255",
            "fax_number": "650-342-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012453",
            "telephone_number": "650-342-6255",
            "fax_number": "650-342-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO CONVALESCENT HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-342-6255",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samir Nanjapa DDS, a Dental Corporation
• Janal Ann Sampang
• Felicia Rene Samprath
• Elyse Casey Samuels, LCSW
• San Mateo Community College District
• San Mateo County
• San Mateo County
• San Mateo County
• San Mateo County
• San Mateo County

• Skilled Nursing Facility in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.