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NPI Code Detail

MEDICARE: COUNTY OF SAN MATEO

MEDICARE: COUNTY OF SAN MATEO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871529073
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF SAN MATEO
Provider Business Mailing Address
First Line : 222 W 39TH AVE
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-4364
Country : US
Telephone Number : 650-573-2120
Fax Number :
Provider Business Practice Location Address
First Line : 2710 MIDDLEFIELD RD
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94063-3404
Country : US
Telephone Number : 650-573-2120
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : JENNIFER PAPA
Credential :
Telephone Number : 650-573-2613
Provider Enumeration Date : 06/23/2006
Last Update Date : 10/23/2025

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Directions to “COUNTY OF SAN MATEO ” Practice Location

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