Seton Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

220000026 Issued in CA

Legal business name

SETON MEDICAL CENTER

Practice address

1900 Sullivan Ave
Daly City, CA 94015-2200

Phone

(650) 992-4000

Fax

(650) 551-6691

NPI assigned

Sep 19, 2006

Organization subpart

No

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

Authorized official

Name

John Ferrelli

Title

President & Ceo

Phone

(650) 991-6491

Specialties & licenses 1

Addresses

Other identifiers 14

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.ardenthealth.com/fhir/SMC/api/FHIR/R4

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1154428688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742974",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742974",
            "telephone_number": "650-992-4000",
            "fax_number": "650-551-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SULLIVAN AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152200",
            "telephone_number": "650-992-4000",
            "fax_number": "650-551-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "FERRELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "650-991-6491"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "220000026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BJ596Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CI719Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40289G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CI378Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CI694Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CI682Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CI705Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CK386Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CI649Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC00289G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ26237Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSM00289G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CI708Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00289G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Serra
• Serramonte Podiatry Group Inc
• Eva Marie Serrano
• Seton Coastside
• Seton Emergency Physicians Inc
• Seton Medical Center
• Seton Medical Center
• Seton Medical Center
• Seton Medical Center
• Seton Medical Center

• General Acute Care Hospital in Daly City, CA
• Providers in Daly City, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.