NPIMap

Organization Active NPI

Mateo Lodge, Inc.

  • Community/Behavioral Health Agency
  • Redwood City, CA
National Provider Identifier
1851445423
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MATEO LODGE, INC.
Practice address
695 5TH Ave
Redwood City, CA 94063-3818
Phone
(650) 568-9006
NPI assigned
Jan 22, 2007
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
Mr. Ian AdamsonNPI 1942355532
Title
C.E.O.
Phone
(650) 363-8125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

695 5TH Ave
Redwood City, CA 94063-3818

Mailing address

420 Cassia St
Redwood City, CA 94063-2011

National Provider Directory

National Provider Directory
Tax ID family
Mateo Lodge Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 12

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851445423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CASSIA ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940632011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 5TH AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633818",
            "telephone_number": "650-568-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATEO LODGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "650-363-8125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.