NPIMap

Organization Active NPI

San Mateo County

Doing business as HPSM Ravenswood FQHC

  • Primary Care Clinic/Center
  • San Mateo, CA
National Provider Identifier
1669870952
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SAN MATEO COUNTY
Doing business as
HPSM Ravenswood FQHC
Practice address
2000 Alameda de Las Pulgas Ste 280
San Mateo, CA 94403-1289
Phone
(650) 573-2509
Fax
(650) 573-2110
NPI assigned
Dec 18, 2014
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Jei Africa
Title
Executive Director
Phone
(650) 613-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2000 Alameda de Las Pulgas Ste 280
San Mateo, CA 94403-1289

Mailing address

2000 Alameda de Las Pulgas Ste 280
San Mateo, CA 94403-1289
Phone (650) 573-2509

Other names 1

  • HPSM Ravenswood FQHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Mateo Medical Center Methadone Treatment Program123 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

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1669870952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ALAMEDA DE LAS PULGAS STE 280",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031289",
            "telephone_number": "650-573-2509",
            "fax_number": "650-573-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ALAMEDA DE LAS PULGAS STE 280",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031289",
            "telephone_number": "650-573-2509",
            "fax_number": "650-573-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "AFRICA",
        "authorized_official_first_name": "JEI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "650-613-2155"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HPSM Ravenswood FQHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HPSM Ravenswood FQHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2024; 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.