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DIGNITY HEALTH MEDICAL GROUP - SEQUOIA, A SERVICE OF DIGNITY HEALTH ME
NPI 1174531859
Clinic/Center - Multi-Specialty in Belmont, CA

Active since August 04, 2006CLIA 05D1055264 · Microscopy
1301 SHOREWAY RD, SUITE 100, BELMONT, CA 94002(650) 596-7000 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2020, Jan 24, 2017 (2 updates tracked since 2017).

About Dignity Health Medical Group - Sequoia, A Service Of Dignity Health Me NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIGNITY HEALTH MEDICAL GROUP - SEQUOIA, A SERVICE OF DIGNITY HEALTH ME (NPI 1174531859) is a healthcare organization registered as a multi-specialty in Belmont, California and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through June 12, 2028 and lists Theresa M Hylen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1174531859
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDIGNITY HEALTH MEDICAL FOUNDATION
Location Address1301 SHOREWAY RD, SUITE 100Belmont, CA 94002-4151
Mailing AddressPo Box 742852Los Angeles, CA 90074-2852 · (916) 379-2840 · Fax (916) 859-1106
Phone(650) 596-7000
Organization SubpartYes
Authorized OfficialTheresa M HylenChief Financial Officer · (916) 851-2559
Enumeration DateAugust 4, 2006
Last NPPES UpdateNovember 18, 20202 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
✔ NPI 1174531859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1301 SHOREWAY RD, Belmont, CA 94002
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Other Names 1

Doing Business AsDignity Health Medical Group - Sequoia, A Service Of Dignity Health Me

Other Identifiers 3

OtherZZZ66458ZCA · Blue Shield
Other113737342Irs - Sp Tax Id
Other4601Healthnet

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1055264

Dignity Health Medical Foundation · Belmont, CA
Active · expires Jun 12, 2028
CLIA Number05D1055264
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorMarie C. President
Laboratory Phone(916) 379-2861
Laboratory LocationDignity Health Medical Foundation1301 Shoreway Rd, Suite 100, Belmont, CA 94002
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESSE JULIAN WAGGONER M.D.
Internal Medicine (Infectious Disease)
1301 SHOREWAY RD, SUITE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000
SELECT PHYSICAL THERAPY HOLDINGS INC
Durable Medical Equipment & Medical Supplies
1301 SHOREWAY RD, NUMBER 280
BELMONT, CA 94002
San Mateo County (650) 591-9581
DR. ELIZABETH SODA MD
Internal Medicine (Infectious Disease)
1301 SHOREWAY RD, SUITE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000
DR. GARY A GREENSWEIG D.O.
Family Medicine
1301 SHOREWAY RD, STE. 100
BELMONT, CA 94002
San Mateo County (650) 596-7000
LYNDA ANN MACKIN NP
Nurse Practitioner (Adult Health)
1301 SHOREWAY RD, SUITE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000
DR. ELIZABETH KOCOT M.D.
Internal Medicine
1301 SHOREWAY RD, SUITE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000
CHW MEDICAL FOUNDATION
Clinic/Center (Multi-Specialty)
1301 SHOREWAY RD, SUITE 100
BELMONT, CA 94002
San Mateo County (650) 596-7027
DR. ADIL K JADALLAH M.D.
Family Medicine
1301 SHOREWAY RD, SUITE 100
BELMONT, CA 94002
San Mateo County (650) 596-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dignity Health Medical Foundation's NPI number?

The NPI number for Dignity Health Medical Foundation is 1174531859. It was assigned to this organization in the NPPES registry on August 4, 2006. The provider is doing business as Dignity Health Medical Group - Sequoia, A Service Of Dignity Health Me.

Where is Dignity Health Medical Foundation located?

Dignity Health Medical Foundation is located at 1301 Shoreway Rd Suite 100, Belmont, CA 94002. The listed phone number is (650) 596-7000.

What is Dignity Health Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Dignity Health Medical Foundation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1055264) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dignity Health Medical Foundation was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.