NPIMap

Organization Active NPI

County of San Mateo

Doing business as San Mateo Medical Center

  • Public Health or Welfare Agency
  • San Mateo, CA
National Provider Identifier
1306907928
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF SAN MATEO
Doing business as
San Mateo Medical Center
Practice address
222 W 39TH Ave
San Mateo, CA 94403-4364
Phone
(650) 573-2222
NPI assigned
Dec 13, 2006
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SAN MATEOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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
Public Health or Welfare Agency 251K00000X 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
O20040416001479 CA Part B Supplier - Clinic/Group Practice 9032023171 Receives reassigned benefits from 48 practitioners
Practice locations: San Mateo, CA

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
San Mateo Medical Center Methadone Treatment Program123 organizations share this tax ID, including this one
Part of
San Mateo Medical Center Methadone Treatment Program

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 facility ownership & control disclosures 10

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 05S113 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
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 11

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

  • County of San Mateo

    dba San Mateo Medical Center

    • General Acute Care Hospital
    • San Mateo, CA
    • NPI 1003985755

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba Daly City Youth Hlth Ctr

    • Federally Qualified Health Center (FQHC)
    • Daly City, CA
    • NPI 1023196011

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Psychiatric Hospital Unit
    • San Mateo, CA
    • NPI 1194894840

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • Daly City, CA
    • NPI 1265522619

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • General Acute Care Hospital
    • San Mateo, CA
    • NPI 1386713030

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • Redwood City, CA
    • NPI 1386728533

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • Redwood City, CA
    • NPI 1568540557

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Long Term Care Hospital
    • San Mateo, CA
    • NPI 1710066634

    5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • South San Francisco, CA
    • NPI 1750460671

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • Half Moon Bay, CA
    • NPI 1841379765

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of San Mateo

    dba San Mateo Medical Center

    • Federally Qualified Health Center (FQHC)
    • San Mateo, CA
    • NPI 1932288859

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 125

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 125

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1306907928",
    "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": "2006-12-13",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "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": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "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": "64 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"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.