County of San Mateo
Organization Active NPI Multi-Specialty Clinic/Center · San Mateo, CA
NPI 1831268580 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1831268580
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- COUNTY OF SAN MATEO
- Practice address
- 222 W 39TH Ave
San Mateo, CA 94403-4364 - Phone
- (650) 573-3702
- NPI assigned
- Nov 7, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY OF SAN MATEO
Authorized official
- Name
- Jennifer Papa
- Title
- Chief Financial Officer
- Phone
- (650) 573-2613
Owned or controlled facilities with NPI records 11
Other NPIs on the same Medicare enrollment 36
Other NPIs with the same Medicare PAC ID 14
Practitioners 595
-
Aminah Al-Saeedi, NP-C
-
Ira Vergara Amayun, BSN, MPH, DNP, FNP-C
-
Jeanette Aviles, MD
-
Janet Baek, MD
-
Christopher Jai Balkissoon, DNP, MSN, FNP-C
-
Marta Andrea Banh, O.D.
-
Sage Bearman, CNM, WHNP
-
Teja Bedi, MD
-
Howard Belfer, MD
-
Larissa Belsky, FNP
-
Arter Biggs, M.D.
-
Amy Brenner, NP
-
Jason Bromley, MD
-
Divya Chander, M.D., PH.D.
-
Chuan-Hsin Chang, M.D.
-
Cai Chen, DO
-
Namui Choi, FNP-C
-
Michele Cronin, NURSE PRACTITIONER
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
All facility ownership & control disclosures 10
| Facility | Type | Role | Since |
|---|---|---|---|
| San Mateo Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1993 |
| San Mateo Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| San Mateo Medical Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (19%) 5% Or Greater Security Interest (19%) Operational/Managerial Control Adp of the SNF Direct Ownership Interest (19%) |
Jan 1, 1966 Jan 1, 1966 Jan 1, 1966 Jan 1, 1966 Jan 1, 1966 |
| Daly City Youth Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 10, 1966 |
| Daly City Clinic |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2016 |
| Fair Oaks Health Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 10, 1966 |
| 39TH Avenue Clinics (Main Campus) |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2016 |
| Coastside Clinic |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2016 |
| Sequoia Teen Wellness Center |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2016 |
| South San Francisco Clinic |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031126000292 | CA | Part B Supplier - Clinic/Group Practice | 9032023171 |
Receives reassigned benefits from 605 practitioners 36 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Redwood City, CA; San Mateo, CA; San Bruno, CA; South San Francisco, CA; Woodside, CA; Daly City, CA; Belmont, CA; Colma, CA… |
| O20040123000822 | CA | Part B Supplier - Clinic/Group Practice | 9032023171 |
Receives reassigned benefits from 443 practitioners Practice locations: San Mateo, CA |
National Provider Directory
- Part of
- Harold D Chope Comm Pat
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
222 W 39TH Ave
San Mateo, CA 94403-4364
Mailing address
222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-3702
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0028882 | Medicaid | CA | |
| GR0028887 | Medicaid | CA | |
| GR0028872 | Medicaid | CA | |
| GR0028870 | Medicaid | CA | |
| GR0028880 | Medicaid | CA | |
| GR0028871 | Medicaid | CA | |
| GR0028881 | Medicaid | CA |
Other names
- San Mateo Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in San Mateo, CA
- County of San Mateo
- County of San Mateo
- County of San Mateo
- County of San Mateo
- County of San Mateo
- County of San Mateo
- County of San Mateo
- County of San Mateo
- County of San Mateo
- County of San Mateo
All providers in San Mateo, CA · Multi-Specialty Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.