County of San Mateo
Organization Active NPI Public Health or Welfare Agency · San Mateo, CA
NPI 1306907928 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1306907928
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- COUNTY OF SAN MATEO
- Practice address
- 222 W 39TH Ave
San Mateo, CA 94403-4364 - Phone
- (650) 573-2222
- NPI assigned
- Dec 13, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY OF SAN MATEO
Authorized official
- Name
- Jennifer Papa
- Title
- Chief Financial Officer
- Phone
- (650) 573-2613
Owned or controlled facilities with NPI records 11
Other NPIs with the same Medicare PAC ID 14
Corporate family (same tax ID) 24
Practitioners 375
-
Elizabeth Beam, MD, PHD
-
Bruce A Eliashof, MD
-
Max David Farber, MS, CNM, WHNP-BC, RN
-
Rouzbeh Fateh, M.D
-
Harminder K Gill, M.D
-
Lisa Gooze, MD
-
Laura A Greicus, RN, RNP
-
Leena M Joshi, M.D.
-
Christopher Malcolm King, RN, MS, NP
-
Arielle Marian Lee, M.D.
-
Vivian Levy, MD
-
Chen Der Low, NP
-
Ana Wong Pacis, FNP
-
Kesav Raghavan, MD
-
Nahzaneen Sedehi, MD
-
Hubert Shih, MD
-
Nancy Sarah Shulman, M.D.
-
Ramya Srinivasan, M.D.
-
Camelot Thompson, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
All facility ownership & control disclosures 10
| Facility | Type | Role | Since |
|---|---|---|---|
| San Mateo Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1993 |
| San Mateo Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| San Mateo Medical Center |
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 Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 10, 1966 |
| Daly City Clinic |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2016 |
| Fair Oaks Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 10, 1966 |
| 39TH Avenue Clinics (Main Campus) |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2016 |
| Coastside Clinic |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2016 |
| Sequoia Teen Wellness Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2016 |
| South San Francisco Clinic |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040416001479 | CA | Part B Supplier - Clinic/Group Practice | 9032023171 |
Receives reassigned benefits from 48 practitioners Practice locations: San Mateo, CA |
National Provider Directory
- Tax ID family
- Harold D Chope Comm Pat
- Part of
- Harold D Chope Comm Pat
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0028883 | Medicaid | CA |
Other names
- San Mateo Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in San Mateo, CA
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- County of San Mateo
- County of San Mateo
- County of San Mateo
All providers in San Mateo, CA · Public Health or Welfare Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.