NPIMap

Organization Active NPI

San Mateo County Health Department

  • Health Maintenance Organization
  • San Mateo, CA
National Provider Identifier
1891989976
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
ASW 15873 Issued in CA
Legal business name
SAN MATEO COUNTY HEALTH DEPARTMENT
Practice address
150 W 20TH Ave
San Mateo, CA 94403-1341
Phone
(650) 372-8555
Fax
(650) 341-7389
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Mrs. Sonia Celmira Lucana, MSW/ASW
Title
Psychiatric Social Worker
Phone
66503728555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X ASW 15873 CA Primary

Addresses

Primary practice location

150 W 20TH Ave
San Mateo, CA 94403-1341

Mailing address

150 W 20TH Ave
San Mateo, CA 94403-1341
Phone (650) 372-8555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1891989976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 20TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031341",
            "telephone_number": "650-372-8555",
            "fax_number": "650-341-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 20TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031341",
            "telephone_number": "650-372-8555",
            "fax_number": "650-341-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MATEO COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "LUCANA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "CELMIRA",
        "authorized_official_title_or_position": "PSYCHIATRIC SOCIAL WORKER",
        "authorized_official_telephone_number": "66503728555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW/ASW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "ASW 15873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 31, 2007; 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.