San Mateo County Health Department Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1264 Issued in CA

Legal business name

SAN MATEO COUNTY HEALTH DEPARTMENT LABORATORY

Practice address

225 37TH Ave
San Mateo, CA 94403-4324

Phone

(650) 573-2500

Fax

(650) 573-2147

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian Zamora

Title

Director, Public Health Division

Phone

(650) 573-3426

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720167422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 37TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034324",
            "telephone_number": "650-573-2500",
            "fax_number": "650-573-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 37TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034324",
            "telephone_number": "650-573-2500",
            "fax_number": "650-573-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO COUNTY HEALTH DEPARTMENT LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR, PUBLIC HEALTH DIVISION",
        "authorized_official_telephone_number": "650-573-3426",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "1264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB77125F (ZOZ)",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Mateo County Aging & Disability Services
• San Mateo County California Children's Services
• San Mateo County Family Health Services
• San Mateo County Health Department
• San Mateo County Health Department
• San Mateo County Medical Center
• San Mateo County Medical Center
• San Mateo County-Family Health Services
• San Mateo Endoscopy Center (Mid Peninsula Endoscopy Center)
• San Mateo Foot and Ankle Care Inc

• Clinical Medical Laboratory in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Clinical Medical Laboratory 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 Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.