NPIMap

Organization Active NPI

San Mateo County Medical Center

  • Federally Qualified Health Center (FQHC)
  • Redwood City, CA
National Provider Identifier
1659300085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SAN MATEO COUNTY MEDICAL CENTER
Practice address
630 Laurel St
Redwood City, CA 94063-2977
Phone
(650) 573-2120
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kris Rozzi
Title
Reimbursement
Phone
(650) 573-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

630 Laurel St
Redwood City, CA 94063-2977

Mailing address

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2120

Other identifiers 1

IdentifierTypeStateIssuer
FHC80183WOtherCAFQHC PROVIDER #

National Provider Directory

National Provider Directory
Tax ID family
Harold D Chope Comm Pat123 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

630 Laurel St
Redwood City, CA 94063
Phone (650) 261-3710

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659300085",
    "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": "650-573-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 LAUREL ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632977",
            "telephone_number": "650-573-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROZZI",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "REIMBURSEMENT",
        "authorized_official_telephone_number": "650-573-2120"
    },
    "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 PROVIDER #",
            "identifier": "FHC80183W",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.