SAN MATEO COUNTY NPI 1104978840

NPI Information

  • NPI: 1104978840
  • Provider Name: SAN MATEO COUNTY
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Other Name: SAN MATEO MEDICAL CENTER - WILLOW CLINIC
  • Address: 795 WILLOW RD
    BLDG 332
    MENLO PARK, CA
    ZIP 94025
  • Phone: (650) 578-7190

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NPI Details

SAN MATEO COUNTY is a public health or welfare in Menlo Park, CA. SAN MATEO COUNTY NPI is 1104978840. The provider is registered as an organization entity type.
The provider Other Name Is San Mateo Medical Center - Willow Clinic.

The provider's business location address is:

795 WILLOW RD
BLDG 332
MENLO PARK, CA
ZIP 94025-539
Phone: (650) 578-7190

The provider's authorized official is Judith Davila .
The authorized official title is Aod Program Manager and has the following contact phone number (650) 802-5057.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14191OTHERCALIFORNIAPROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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