NPIMap

Organization Active NPI

San Mateo Community College District

  • Student Health Clinic/Center
  • San Mateo, CA
National Provider Identifier
1427224914
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
SAN MATEO COMMUNITY COLLEGE DISTRICT
Practice address
1700 W Hillsdale Blvd
BLDG 1-226
San Mateo, CA 94402-3757
Phone
(650) 574-6396
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Harry Joel
Title
Vice Chancellor
Phone
(650) 358-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1700 W Hillsdale Blvd
BLDG 1-226
San Mateo, CA 94402-3757

Mailing address

3401 CSM Dr
San Mateo, CA 94402-3651
Phone (650) 358-6767

National Provider Directory

National Provider Directory
Tax ID family
Smccd3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1700 W Hillsdale Blvd
Bldg 1226
San Mateo, CA 94402
Phone (650) 574-6396

3401 Csm Dr
San Mateo, CA 94402

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1427224914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CSM DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023651",
            "telephone_number": "650-358-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W HILLSDALE BLVD",
            "address_2": "BLDG 1-226",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023757",
            "telephone_number": "650-574-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "JOEL",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "VICE CHANCELLOR",
        "authorized_official_telephone_number": "650-358-6767"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.