NPI Code Details Logo

NPI 1275326175

NPI 1275326175 : SAN MATEO HEALTH COMMISSION : SOUTH SAN FRANCISCO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1275326175
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SAN MATEO HEALTH COMMISSION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/23/2025
-----------------------------------------------------
    Last Update Date     |    05/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    801 GATEWAY BLVD STE 100 
-----------------------------------------------------
    City                 |    SOUTH SAN FRANCISCO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94080-7408
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    650-616-0050
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    801 GATEWAY BLVD STE 100 
-----------------------------------------------------
    City                 |    SOUTH SAN FRANCISCO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94080-7408
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    650-616-0050
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO
-----------------------------------------------------
    Name                 |    MR. TRENT  EHRGOOD 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    650-616-2171
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.