Active NPI
San Mateo County Medical Center
- Adult Day Care Clinic/Center
- Daly City, CA
National Provider Identifier
1265829501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 210005
- Legal business name
- SAN MATEO COUNTY MEDICAL CENTER
- Practice address
- 380 90TH St
Daly City, CA 94015-1807 - Phone
- (650) 301-8600
- NPI assigned
- Apr 24, 2015
- Organization subpart
- Yes
- Parent organization
- DALY CITY CLNIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Roberts
- Title
- Medical Staff Office
- Phone
- (650) 301-8600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 210005 | CA | Primary |
| General Acute Care Hospital | 282N00000X | 21005 | CA |
Addresses
Primary practice location
380 90TH St
Daly City, CA 94015-1807
Mailing address
380 90TH St
Daly City, CA 94015-1807
National Provider Directory
National Provider Directory- Part of
- San Mateo County Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429833600000",
"number": "1265829501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 90TH ST",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940151807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 90TH ST",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940151807",
"telephone_number": "650-301-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN MATEO COUNTY MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DALY CITY CLNIC",
"enumeration_date": "2015-04-24",
"last_updated": "2015-04-24",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "MEDICAL STAFF OFFICE",
"authorized_official_telephone_number": "650-301-8600"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CA",
"license": "210005",
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "21005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
- Goldie Samera, RN
- Michael C. Samn, MD
- San Francisco Dermatopathology Institute Professional Corporation
- San Francisco Peninsula Cardiovascular Medical GRP Inc
- San Mateo County
- San Mateo County Medical Center
- San Mateo Medical Center
- San Mateo Medical Center
- San Mateo Medical Center
- San Mateo Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.