Overview
San Mateo Medical Center is a Long Term Care Hospital (organization) practicing in San Mateo, California. The National Provider Identifier (NPI) is #1710107818, which was assigned on April 30, 2007,and the registration record was last updated on August 22, 2020. The practitioner's main practice location is at 222 W 39th Ave, San Mateo, CA 94403-4364; the contact telephone number is 6505732222. The primary taxonomy of San Mateo Medical Center is Long Term Care Hospital (282E00000X). The authorized official for San Mateo Medical Center is Kris Rozzi (Reimbursement).
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Provider Information
| NPI | 1710107818 |
| Entity Type | Organization |
| Organization Name | SAN MATEO MEDICAL CENTER |
| Provider Name | SAN MATEO MEDICAL CENTER |
| Practice Address | 222 W 39th Ave San Mateo CA 94403-4364 |
| Practice Telephone | 6505732222 |
| Mailing Address | 222 W 39th Ave San Mateo CA 94403-4364 |
| Mailing Telephone | 6505732222 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |
| Is Organization Subpart | N |
Authorized Official Information
| Official Name | KRIS ROZZI |
| Official Title | REIMBURSEMENT |
| Telephone | 6505732120 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital |
Other Provider Identifiers
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| LTC05034F | CA | CARE ADVANTAGE HPSM | Other |
Providers with the same name
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| San Mateo Medical Center | 630 Laurel St, Suite A, Redwood City, CA 94063-2977 | General Acute Care Hospital | 2008-05-29 |
| San Mateo Medical Center | 795 Willow Rd Bldg 344, Menlo Park, CA 94025-2539 | Multi-Specialty Clinic/Center | 2006-12-14 |
| San Mateo Medical Center | 630 Laurel St, Redwood City, CA 94063-2977 | Multi-Specialty Clinic/Center | 2008-12-03 |
| San Mateo Medical Center | 306 Spruce Ave, South San Francisco, CA 94080-2741 | Multi-Specialty Clinic/Center | 2007-12-18 |
| San Mateo Medical Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | General Acute Care Hospital | 2007-04-30 |
| San Mateo Medical Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | General Acute Care Hospital | 2007-04-30 |
| San Mateo Medical Center | 2710 Middlefield Rd, Redwood City, CA 94063-3404 | General Acute Care Hospital | 2008-05-29 |
| San Mateo Medical Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | General Acute Care Hospital | 2007-05-21 |
| San Mateo Medical Center | 380 90th St, Daly City, CA 94015-1807 | General Acute Care Hospital | 2008-05-29 |
| San Mateo Medical Center | 200 James Ave, Redwood City, CA 94062-5123 | General Acute Care Hospital | 2008-05-29 |
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Taxonomy Information
Primary Taxonomy
| Code | 282E00000X |
| Taxonomy | Long Term Care Hospital |
| Classification | Long Term Care Hospital |
| Grouping | Hospitals |
| Definition: Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Hhn Tx1 LLC | 1103 Grace St, Wichita Falls, TX 76301-4414 | Long Term Care Hospital | 2024-08-30 |
| Inspire Specialty Hospital of El Paso, LLC | 2311 N Oregon St, El Paso, TX 79902-3216 | Long Term Care Hospital | 2024-05-29 |
| Hhn Ks1 LLC | 6509 W 103rd St, Overland Park, KS 66212-1728 | Long Term Care Hospital | 2024-09-11 |
| Emanaged Care | 10324 Balboa Blvd, Granada Hills, CA 91344-7349 | Long Term Care Hospital | 2023-11-20 |
| Arlesuah Y Coleman | 121 Arbor Cove Way, Stockbridge, GA 30281-6443 | Long Term Care Hospital | 2023-11-01 |
| Bartlett Regional Hospital · Wildflower Court | 2000 Salmon Creek Ln, Juneau, AK 99801-7801 | Long Term Care Hospital | 2023-07-25 |
| Baton Rouge Specialty Hospital | 5130 Mancuso Ln, Baton Rouge, LA 70809-3583 | Long Term Care Hospital | 2024-06-17 |
| Primecare Practitioners | 5800 Fleet Ave Ste 2, Cleveland, OH 44105-3404 | Long Term Care Hospital | 2024-10-07 |
| Select Specialty Hospital Tucson, LLC | 5301 East Grant Road, 1st Floor Unit 650, Tucson, AZ 85712 | Long Term Care Hospital | 2024-07-10 |
| Oluwakemi Florence Oluwayemi | 15320 33rd Ave S, Unit S610, Seatac, WA 98188 | Long Term Care Hospital | 2024-08-07 |
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Location Information
| Street Address | 222 W 39TH AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-4364 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kevin Quach | 222 W 39th Ave, San Mateo, CA 94403-4364 | Physician Assistant | 2022-11-07 |
| Karina Teresa Tengco Barretto | 222 W 39th Ave, San Mateo, CA 94403-4364 | Student in an Organized Health Care Education/Training Program | 2022-05-05 |
| Christian Sustrina | 222 W 39th Ave, San Mateo, CA 94403-4364 | Physical Medicine & Rehabilitation Physician | 2024-10-10 |
| Dana Keraun Jaco | 222 W 39th Ave, San Mateo, CA 94403-4364 | Registered Dietitian | 2024-10-28 |
| Cep America - Neurology PC | 222 W 39th Ave, San Mateo, CA 94403-4364 | Neurology Physician | 2024-03-27 |
| Tanya Ngo | 222 W 39th Ave, San Mateo, CA 94403-4364 | Psychiatry Physician | 2023-05-10 |
| Deanna S Fone · Deanna Fone | 222 W 39th Ave, San Mateo, CA 94403-4364 | Occupational Therapist | 2024-05-22 |
| County of San Mateo | 222 W 39th Ave, San Mateo, CA 94403-4364 | Pharmacy | 2024-02-15 |
| Zane Adam Davis | 222 W 39th Ave, San Mateo, CA 94403-4364 | Psychiatry Physician | 2023-05-05 |
| Andrew Ray Tren Chang | 222 W 39th Ave, San Mateo, CA 94403-4364 | Psychiatry Physician | 2024-04-01 |
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Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Aikisha Lopez Harley | 222 W. 39th Ave., Department of Psychiatry, San Mateo, CA 94403-4364 | Psychologist | 2018-07-19 |
| Richard D Almeida | 222 West 39th Avenue, San Mateo, CA 94403-4364 | Emergency Medicine Physician | 2006-07-11 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sarah Barrios-Perez | 1900 South Nortfolk Street #205, San Mateo, CA 94403 | Behavior Technician | 2021-10-12 |
| Travel Well Corporation · Passport Health | 1941 O'Farrell St, Suite 105/109, San Mateo, CA 94403 | Community Health Worker | 2014-07-28 |
| Maria Lucila Echeverria-Bustios | 1911 Ivy St., San Mateo, CA 94403 | Professional Counselor | 2013-08-02 |
| Samirah Maher Zada | 1117 Ramblewood Way, San Mateo, CA 94403 | Student in an Organized Health Care Education/Training Program | 2023-05-11 |
| Moniker Hospice Services of The Peninsula, LLC · Silverado Hospice, Inc | 1900 South Norfolk, 270, San Mateo, CA 94403 | Community Based Hospice Care Agency | 2012-10-11 |
| Jonathan Chun Ming Tsang | 222 West 39th Avenue, Residency Office, San Mateo, CA 94403 | Psychiatry Physician | 2017-04-26 |
| Jennifer W Wang | 2996 S. Norfolk St, E, San Mateo, CA 94403 | Dentist | 2012-12-06 |
| Latifunisa Lilani | 2600 El Camino Real, San Mateo, CA 94403 | Community Health Worker | 2016-09-01 |
| Happy Enerqi LLC | 5 43rd Ave, San Mateo, CA 94403 | Acupuncturist | 2019-10-21 |
| Jyotsna S Vincent · Jyotsna Singh | 110 Park Place, Ste 100, San Mateo, CA 94403 | Internal Medicine Physician | 2012-04-24 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| County of San Mateo · San Mateo Medical Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | General Acute Care Hospital | 2006-11-07 |
| County of San Mateo · San Mateo Medical Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | Multi-Specialty Clinic/Center | 2006-11-07 |
| County of San Mateo · San Mateo Medical Center | 306 Spruce Ave, South San Francisco, CA 94080-2741 | Multi-Specialty Clinic/Center | 2006-06-22 |
| County of San Mateo · San Mateo Medical Center | 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 | Multi-Specialty Clinic/Center | 2007-01-24 |
| County of San Mateo · San Mateo Medical Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | General Acute Care Hospital | 2006-11-07 |
| County of San Mateo · San Mateo Medical Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | Long Term Care Hospital | 2006-11-02 |
| San Mateo County · San Mateo Medical Center - Willow Clinic | 795 Willow Rd, Bldg 332, Menlo Park, CA 94025-2539 | Public Health or Welfare Agency | 2007-01-16 |
| County of San Mateo · San Mateo Medical Center | 795 Willow Rd, Bldg 334, Menlo Park, CA 94025-2539 | Federally Qualified Health Center (FQHC) | 2006-11-02 |
| County of San Mateo · San Mateo Medical Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | Multi-Specialty Clinic/Center | 2006-12-14 |
| County of San Mateo · San Mateo Medical Center | 222 W 39th Ave, San Mateo, CA 94403-4364 | Federally Qualified Health Center (FQHC) | 2006-11-02 |
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Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS).Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA).Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS):NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
