NPIMap

Organization Active NPI

County of San Mateo

  • Psychiatric Hospital Unit
  • San Mateo, CA
National Provider Identifier
1194894840
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
COUNTY OF SAN MATEO
Practice address
222 W 39TH Ave
San Mateo, CA 94403-4364
Phone
(650) 573-2222
NPI assigned
Nov 7, 2006
Organization subpart
Yes
Parent organization
COUNTY OF SAN MATEOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Jennifer Papa
Title
Chief Financial Officer
Phone
(650) 573-2613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

222 W 39TH Ave
San Mateo, CA 94403-4364

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

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090325000637 CA Part A Provider - Hospital 9032023171 Practice locations: San Mateo, CA

Hospital certification: CCN 05S113

Legal name
COUNTY OF SAN MATEO
Doing business as
SAN MATEO MEDICAL CENTER
Organization structure
GovernmentNon-profit
Enrollment address
222 W. 39TH Ave
San Mateo, CA 94403-4364
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Harold D Chope Comm Pat123 organizations share this tax ID, including this one
Part of
Harold D Chope Comm Pat

Organizations with this tax ID in the same state 24

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

View all 24

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jennifer Papa Individual W-2 Managing EmployeeChief Financial Officer Jul 6, 2025
Operational/Managerial ControlChief Financial Officer Jul 6, 2025
David S McGrew Individual W-2 Managing EmployeeInterim Cfo Sep 1, 2016
Operational/Managerial ControlInterim Cfo Sep 1, 2016
County of San Mateo Organization, San Mateo, CA 5% Or Greater Direct Ownership Interest Jul 1, 1993 100%

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
San Mateo Medical CenterSan Mateo, CA, CCN 050113 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
San Mateo Medical CenterSan Mateo, CA, CCN 555034 Skilled nursing facility 5% Or Greater Direct Ownership Interest (19%)
5% Or Greater Security Interest (19%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (19%)		 Jan 1, 1966
Jan 1, 1966
Jan 1, 1966
Jan 1, 1966
Jan 1, 1966
Daly City Youth Health CenterDaly City, CA, CCN 751888 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 10, 1966
Daly City ClinicDaly City, CA, CCN 751906 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2016
Fair Oaks Health CenterRedwood City, CA, CCN 751887 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 10, 1966
39TH Avenue Clinics (Main Campus)San Mateo, CA, CCN 751904 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2016
Coastside ClinicHalf Moon Bay, CA, CCN 751898 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2016
Sequoia Teen Wellness CenterRedwood City, CA, CCN 751907 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2016
South San Francisco ClinicSouth San Francisco, CA, CCN 751905 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2016

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1194894840",
    "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": "222 W 39TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034364",
            "telephone_number": "650-573-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN MATEO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SAN MATEO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "PAPA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "650-573-2613"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "San Mateo Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Mateo Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.