Healthcare Provider Details

I. General information

NPI: 1376462879
Provider Name (Legal Business Name): COUNTY OF SAN MATEO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1024 MISSION RD FL 1
SOUTH SAN FRANCISCO CA
94080-3220
US

IV. Provider business mailing address

222 W 39TH AVE
SAN MATEO CA
94403-4364
US

V. Phone/Fax

Practice location:
  • Phone: 650-573-2222
  • Fax:
Mailing address:
  • Phone: 650-573-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER PAPA
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 650-573-2613