County of San Mateo
Organization Active NPI Medical Specialty Clinic/Center · Menlo Park, CA
NPI 1336239052 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1336239052
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- COUNTY OF SAN MATEO
- Practice address
- 795 Willow Rd
Menlo Park, CA 94025-2539 - Phone
- (650) 599-3890
- NPI assigned
- Oct 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
Other NPIs on the same Medicare enrollment 36
Corporate family (same tax ID) 24
Practitioners 12
-
Janet Baek, MD
-
Crystal I Chen, O.D.
-
Tomoki Kimura, MD
-
Nicole Lederman, M.D.
-
Yi Yi Liu, MD
-
Jose Luis Ochoa Sierra, M.A. LMFT
-
Yuliya Skuba, LMFT
-
Sean Vincent Vallor, LMFT, APC
-
Sonia Velasquez, MFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031126000292 | CA | Part B Supplier - Clinic/Group Practice | 9032023171 |
Receives reassigned benefits from 605 practitioners 36 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Redwood City, CA; San Mateo, CA; San Bruno, CA; South San Francisco, CA; Woodside, CA; Daly City, CA; Belmont, CA; Colma, 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 |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | CA | Yes |
Addresses
Primary practice location
795 Willow Rd
Menlo Park, CA 94025-2539
Mailing address
222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ085052 | Other | CA | BLUE SHIELD |
| GR0028885 | 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 Menlo Park, CA
- Elisabeth Renee Cordell
- Rebecca Ann Cormier
- Cortexon Medical Corporation
- John George Costouros
- County of San Mateo
- Couples Institute Counseling Services a Marriage and Family Therapy Co
- Kimberly Michelle Courtney
- Pamela Louise Courtright
- Mayra Leon Cramer
- Crane Street Dermatology
All providers in Menlo Park, CA · Medical Specialty Clinic/Center 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 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.