| Foster City Medical Center | |
| 
					1241 E Hillsdale Blvd Suite 270 Foster City CA 94404-1241  | |
| (650) 918-5080 | |
| Not Available | 
| Full Name | Foster City Medical Center | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1241 E Hillsdale Blvd, Foster City, California | 
| Authorized Official Name and Position | Rajan Dave (CEO) | 
| Authorized Official Contact | 6509185080 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Foster City Medical Center 1241 E Hillsdale Blvd Suite 270 Foster City CA 94404-1241 Ph: (650) 918-5080  | Foster City Medical Center 1241 E Hillsdale Blvd Suite 270 Foster City CA 94404-1241 Ph: (650) 918-5080  | 
| NPI Number | 1255731980 | 
|---|---|
| Provider Enumeration Date | 08/29/2014 | 
| Last Update Date | 08/29/2014 | 
| Medicare PECOS PAC ID | 1052531878 | 
|---|---|
| Medicare Enrollment ID | O20140930000835 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255731980 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | A125461 (California) | Secondary | 
| 261QU0200X | Clinic/center - Urgent Care | A125461 (California) | Primary | 
| Provider Name | Ka Wai Tam | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1265484588 PECOS PAC ID: 8921049750 Enrollment ID: I20050520000976  | 
| Provider Name | Rajan Dave | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1558703330 PECOS PAC ID: 2961622782 Enrollment ID: I20140930001227  | 
| Provider Name | Amanda Leigh Howard | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1467894246 PECOS PAC ID: 5294955837 Enrollment ID: I20141003000377  | 
| Provider Name | Maria Kristina A Sia | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1043064975 PECOS PAC ID: 6709307937 Enrollment ID: I20250305000019  | 
Premise Health Of California Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Velocity Way, Foster City, CA 94404 Phone: 650-524-0820 Fax: 650-267-6148  | |
Michelle S. Tam, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1289 E. Hillsdale Blvd, Suite 6, Foster City, CA 94404 Phone: 650-312-1000 Fax: 650-523-8800  |