| San Mateo Medical Center | |
|
222 W 39th Ave San Mateo CA 94403-4364 | |
| (650) 573-2120 | |
| 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 (PROVIDER ENROLLMENT) |
| 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) 573-2120 | San Mateo Medical Center 222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-2120 |
| NPI Number | 1942226014 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 06/25/2008 |
| Medicare PECOS PAC ID | 9032023171 |
|---|---|
| Medicare Enrollment ID | O20080715000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942226014 | NPI | - | NPPES |
| ZZZ93217Z | Other | CA | BLUE SHIELD |
| GR0065090 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Alexander C Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497834147 PECOS PAC ID: 2961476999 Enrollment ID: I20040824001309 |
| Provider Name | Winnie F Yee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942357074 PECOS PAC ID: 9133197205 Enrollment ID: I20040917000404 |
| Provider Name | Eliza B Newbold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811913023 PECOS PAC ID: 4082617444 Enrollment ID: I20060824000540 |
| Provider Name | Jessie Y Hwang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083766810 PECOS PAC ID: 1355434432 Enrollment ID: I20070905000653 |
| Provider Name | Lily Yee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861544488 PECOS PAC ID: 8921177163 Enrollment ID: I20080514000571 |
| Provider Name | Daniel J Buckley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013916733 PECOS PAC ID: 1658443924 Enrollment ID: I20080701000434 |
| Provider Name | Paul R Holland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447462726 PECOS PAC ID: 7113070970 Enrollment ID: I20090813000435 |
| Provider Name | Neda Moshasha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558303321 PECOS PAC ID: 6507758349 Enrollment ID: I20130903000141 |
| Provider Name | Anne Henzel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942355953 PECOS PAC ID: 5890914105 Enrollment ID: I20140919000061 |
| Provider Name | Aruna Rajagopalan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114105053 PECOS PAC ID: 2365752797 Enrollment ID: I20160427001912 |
| Provider Name | Esther I Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124223771 PECOS PAC ID: 2668669821 Enrollment ID: I20171229001469 |
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 | |
Gurpreet K. Padam Md Pc 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 |