Seacliff Icf DDH Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

SEACLIFF ICF DDH INC

Practice address

2040 Sea Cliff Way
San Bruno, CA 94066

Phone

(650) 359-0500

Fax

(650) 347-8887

NPI assigned

Jan 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Julie G Albero

Title

Director

Phone

(650) 544-8999

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G410

Legal name

SEACLIFF ICF-DDH INC

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Nov 13, 2001

Last certification

Oct 31, 2025

Beds

6

Ownership / control type

Other (specify)

Facility address

2040 Sea Cliff Way
San Bruno, CA 94066

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427108620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 SEA CLIFF WAY",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-544-8999",
            "fax_number": "650-347-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 SEA CLIFF WAY",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-359-0500",
            "fax_number": "650-347-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACLIFF ICF DDH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBERO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-544-8999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "55 G410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monet Angelina Scheller
• Morgan Schmidt Petersen
• Dana Christopher Schnell, CADTP ID#16574
• Ashley Schroeder
• Mara Schumann
• Katrina Alarcon Segrove, MS, OT
• Gion Seisa
• Ashley Seki
• Lawrence Selbach
• Jennifer Emily Serafin, MSN, GNP

• Intellectual Disabilities Intermediate Care Facility in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.