Healthcare Provider Details

I. General information

NPI: 1164105698
Provider Name (Legal Business Name): SAN MATEO COUNTY FAMILY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2023
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 GATEWAY BLVD STE 1
SOUTH SAN FRANCISCO CA
94080-7401
US

IV. Provider business mailing address

801 GATEWAY BLVD STE 1
SOUTH SAN FRANCISCO CA
94080-7401
US

V. Phone/Fax

Practice location:
  • Phone: 650-616-2500
  • Fax: 650-616-2598
Mailing address:
  • Phone: 650-616-2500
  • Fax: 650-616-2598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: LAURIE WASHER
Title or Position: ADMINISTRATIVE ASSISTANT II
Credential:
Phone: 628-222-3064