NPIMap

Organization Active NPI

County of San Mateo

  • Federally Qualified Health Center (FQHC)
  • Redwood City, CA
National Provider Identifier
1386728533
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF SAN MATEO
Practice address
2710 Middlefield Rd
Redwood City, CA 94063-3404
Phone
(650) 599-3890
NPI assigned
Oct 24, 2006
Organization subpart
Yes
Parent organization
COUNTY OF SAN MATEOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 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
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2710 Middlefield Rd
Redwood City, CA 94063-3404

Mailing address

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222

Other identifiers 1

IdentifierTypeStateIssuer
FHC70028FOtherCAFQHC

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 CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100903000488 CA Part A Provider - Hospital 9032023171 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Redwood City, CA; South San Francisco, CA; San Mateo, CA; Half Moon Bay, CA; Daly City, CA
O20161007001730 CA Part A Provider - Federally Qualified Health Center (FQHC) 9032023171 Practice locations: Redwood City, CA

Hospital certification: CCN 050113

Legal name
COUNTY OF SAN MATEO
Doing business as
SAN MATEO MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 15, 2024
Beds
103
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
222 W 39TH Ave
San Mateo, CA 94403-4364
Main/Primary Hospital Location
Hospital subgroups
Acute care

Federally qualified health center certification: CCN 751887

Legal name
COUNTY OF SAN MATEO
Doing business as
FAIR OAKS HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 29, 2016
Last certification
Aug 29, 2016
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
2710 Middlefield Rd
Redwood City, CA 94063-3404

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

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
San Mateo Medical CenterCCN 050113
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Harold D Chope Comm Pat

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 Oct 14, 2014
Operational/Managerial ControlChief Financial Officer Oct 14, 2014
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 May 28, 2014
W-2 Managing EmployeeInterim Chief Financial Officer May 28, 2014
Operational/Managerial ControlInterim Chief Financial Officer May 28, 2014
County of San Mateo Organization, San Mateo, CA 5% Or Greater Direct Ownership Interest Jul 1, 1966 100%
5% Or Greater Direct Ownership Interest Sep 10, 1966 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 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
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.

Practitioners & affiliated clinicians

Affiliated clinicians 218

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 218

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1386728533",
    "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": "2710 MIDDLEFIELD RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633404",
            "telephone_number": "650-599-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN MATEO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SAN MATEO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC",
            "identifier": "FHC70028F",
            "state": "CA"
        }
    ],
    "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 Redwood City, CA

Sources for this page

Verify at the official NPI Registry.