SAN MATEO MEDICAL CENTER - WILLOW CLINIC
NPI 1104978840
Public Health or Welfare in Menlo Park, CA

NPI Status: Active since January 16, 2007

Contact Information

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

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  • Organization
  • Public Health or Welfare

About SAN MATEO MEDICAL CENTER - WILLOW CLINIC

This page provides the complete NPI Profile along with additional information for San Mateo Medical Center - Willow Clinic, a provider established in Menlo Park, California operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1104978840 assigned on January 2007. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is San Mateo Medical Center - Willow Clinic. The authorized official of this NPI record is Ms. Judith Davila (Aod Program Manager)

NPI
1104978840
Provider Legal Name
SAN MATEO COUNTY
Other Organization Name
SAN MATEO MEDICAL CENTER - WILLOW CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
795 WILLOW RD BLDG 332 MENLO PARK, CA 94025
Location Phone
(650) 578-7190
Mailing Address
400 HARBOR BLVD BUILDING C BELMONT, CA 94002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JUDITH DAVILA

Authorized Official Title
AOD PROGRAM MANAGER
Authorized Official Phone
(650) 802-5057

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4191OTHER (01)CAPROVIDER NUMBER

Reviews for SAN MATEO MEDICAL CENTER - WILLOW CLINIC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104978840, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 8 + 7 + 1 + 6 + 8 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1104978840.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Gerontology)
795 WILLOW RD
MENLO PARK, CA 94025
Registered Nurse (Psychiatric/Mental Health, Adult)
795 WILLOW RD, MP-170A
MENLO PARK, CA 94025
Social Worker (Clinical)
795 WILLOW RD
MENLO PARK, CA 94025
Psychologist (Clinical)
795 WILLOW RD, ATTN: VAPAHCS MENTAL HEALTH CLINIC
MENLO PARK, CA 94025
Psychiatry & Neurology (Psychiatry)
795 WILLOW RD, 170A-MPD
MENLO PARK, CA 94025
Psychologist (Clinical)
795 WILLOW RD, BUILDING 321
MENLO PARK, CA 94025
Nurse Practitioner (Psychiatric/Mental Health)
795 WILLOW RD, BLDG 352-121
MENLO PARK, CA 94025
Psychiatry & Neurology (Psychiatry)
795 WILLOW RD, MC:334-PTSD
MENLO PARK, CA 94025
Nurse Practitioner (Adult Health)
795 WILLOW RD, BUILDING 324 E112A
MENLO PARK, CA 94025
Psychologist
795 WILLOW RD, HVRP PAVAMC MC 180D
MENLO PARK, CA 94025
Psychologist (Clinical)
795 WILLOW RD, VA PALO ALTO HEALTH CARE SYSTEM (180D)
MENLO PARK, CA 94025
Social Worker (Clinical)
795 WILLOW RD
MENLO PARK, CA 94025
Social Worker (Clinical)
795 WILLOW RD, NCPTSD (352/MP), VA PALO ALTO HCS
MENLO PARK, CA 94025
Social Worker (Clinical)
795 WILLOW RD
MENLO PARK, CA 94025
Social Worker (Clinical)
795 WILLOW RD
MENLO PARK, CA 94025
Internal Medicine (Geriatric Medicine)
795 WILLOW RD, 118MPD
MENLO PARK, CA 94025
Nurse Practitioner (Adult Health)
795 WILLOW RD, BLDG 324, GEROPSYCHIATRIC NURSING HOME
MENLO PARK, CA 94025
Social Worker (Clinical)
795 WILLOW RD, MPD 122
MENLO PARK, CA 94025
Registered Nurse (Addiction (Substance Use Disorder))
795 WILLOW RD
MENLO PARK, CA 94025
Social Worker (Clinical)
795 WILLOW RD, #122
MENLO PARK, CA 94025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104978840, enumerated as an "organization" on January 16, 2007.

The provider is located at 795 WILLOW RD BLDG 332 MENLO PARK, CA 94025 and the phone number is (650) 578-7190.

Public Health or Welfare with taxonomy code 251K00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.