| San Mateo Medical Center | |
|
222 W 39th Ave San Mateo CA 94403-4364 | |
| (650) 573-2222 | |
| Not Available |
| Full Name | San Mateo Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 222 W 39th Ave, San Mateo, California |
| Authorized Official Name and Position | Mei Wong (MEDICAL STAFF) |
| Authorized Official Contact | 6505732198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Mateo Medical Center 222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-2222 | San Mateo Medical Center 222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-2222 |
| NPI Number | 1780753434 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 06/25/2008 |
| Medicare PECOS PAC ID | 9032023171 |
|---|---|
| Medicare Enrollment ID | O20040421001148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780753434 | NPI | - | NPPES |
| ZZZ93235Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Soma Mandal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255419008 PECOS PAC ID: 4082671094 Enrollment ID: I20041210000868 |
| Provider Name | Victoria Galanter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851465553 PECOS PAC ID: 1254375074 Enrollment ID: I20050613001282 |
| Provider Name | Hector L Santiesteban |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245235738 PECOS PAC ID: 5799713657 Enrollment ID: I20050801001166 |
| Provider Name | Diana V Jao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780683789 PECOS PAC ID: 0941304687 Enrollment ID: I20070405000168 |
| Provider Name | Andrea Marie Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366501181 PECOS PAC ID: 4789780016 Enrollment ID: I20070503000282 |
| Provider Name | Suja Georgie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497812507 PECOS PAC ID: 4183658354 Enrollment ID: I20071101000418 |
| Provider Name | Ralph A Boucher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134156912 PECOS PAC ID: 4789763913 Enrollment ID: I20080429000943 |
| Provider Name | Alvaro Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497797559 PECOS PAC ID: 9537221130 Enrollment ID: I20081216000260 |
| Provider Name | Alpa Sanghavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376633628 PECOS PAC ID: 7113089657 Enrollment ID: I20081217000677 |
| Provider Name | Mary T Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063657906 PECOS PAC ID: 1254494701 Enrollment ID: I20090110000012 |
| Provider Name | Cheryl Woo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538310149 PECOS PAC ID: 8426113770 Enrollment ID: I20090219000582 |
| Provider Name | Jenny C Kuo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639136286 PECOS PAC ID: 5294881249 Enrollment ID: I20090916000812 |
| Provider Name | Bryan Gescuk |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295815579 PECOS PAC ID: 8224169750 Enrollment ID: I20100628000746 |
| Provider Name | Kelly Ann F Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780823526 PECOS PAC ID: 4082771126 Enrollment ID: I20100706000357 |
| Provider Name | Michael Siegel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699794115 PECOS PAC ID: 2769514819 Enrollment ID: I20100726000032 |
| Provider Name | Rebecca M Ashe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003980798 PECOS PAC ID: 7315125077 Enrollment ID: I20110628000367 |
| Provider Name | Tina T Au |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063736254 PECOS PAC ID: 4688836406 Enrollment ID: I20120607000210 |
| Provider Name | Bradd Joel Silver |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083715817 PECOS PAC ID: 3072588391 Enrollment ID: I20140305001256 |
| Provider Name | Davina E Lopes De Menezes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013200278 PECOS PAC ID: 9133341209 Enrollment ID: I20141105002657 |
| Provider Name | Marta A Banh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568717213 PECOS PAC ID: 3072837210 Enrollment ID: I20150119000622 |
| Provider Name | Logan D Schneider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689995870 PECOS PAC ID: 1557510930 Enrollment ID: I20150708000014 |
| Provider Name | Johanna M Wolgast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558467522 PECOS PAC ID: 2860592110 Enrollment ID: I20151007000320 |
| Provider Name | Aruna Rajagopalan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114105053 PECOS PAC ID: 2365752797 Enrollment ID: I20160427001912 |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 | |
Pradeepa Selvakumar Md Inc, A California Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 S San Mateo Dr Ste 102, San Mateo, CA 94401 Phone: 650-435-8211 Fax: 844-965-9436 | |
Home Based Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S San Mateo Dr Ste 102, San Mateo, CA 94401 Phone: 650-360-9309 | |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-3962 | |
San Mateo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-3602 | |
Shu Chiropractic And Associates Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N San Mateo Dr, Suite 5, San Mateo, CA 94401 Phone: 415-509-6632 | |
San Mateo Medical Centerr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 |