MEDICARE: SAN MATEO COUNTY

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1710086301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN MATEO COUNTY

Provider Business Mailing Address
First Line	:	2415 UNIVERSITY AVE STE 301
Second Line	:
City	:	EAST PALO ALTO
State	:	CA
Zip	:	94303-1148
Country	:	US
Telephone Number	:	650-363-4030
Fax Number	:

Provider Business Practice Location Address
First Line	:	2415 UNIVERSITY AVE STE 301
Second Line	:
City	:	EAST PALO ALTO
State	:	CA
Zip	:	94303-1148
Country	:	US
Telephone Number	:	650-363-4030
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH DIRECTOR
Name	:	JEI AFRICA
Credential	:
Telephone Number	:	650-573-2748

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	06/05/2025

Similar Medicare Providers

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Practice Location Address:

2415 UNIVERSITY AVE STE 30
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94303-1148

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Practice Fax:

1588780027 — MS. GINA PATRICIA MEZZERA LCSW
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1194843607 — SUSAN J. SMITH MD
Practice Location Address:

2415 UNIVERSITY AVE STE 301
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94303-1148

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1669602637 — CHAUNCEY PETER LAMAR CHATMAN M.A., MFT
Practice Location Address:

2415 UNIVERSITY AVE STE 301
EAST PALO ALTO, CA
94303-1148

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1093025165 — SAN MATEO COUNTY HEALTH SYSTEM BHRS
Practice Location Address:

2415 UNIVERSITY AVE STE 3
EAST PALO ALTO, CA
94303-1148

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1124338348 — MRS. STEPHANIE MESDJIAN M.F.T.1
Practice Location Address:

2415 UNIVERSITY AVE STE 3
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94303-1148

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Practice Fax:

Directions to “SAN MATEO COUNTY ” Practice Location

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