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SAN MATEO MEDICAL CENTER METHADONE TREATMENT PROGRAM
NPI 1487872974
Clinic/Center - Methadone in Menlo Park, CA

Active since April 23, 2007
795 WILLOW RD, BUILDING 332, MENLO PARK, CA 94025(650) 578-7190 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Mateo Medical Center Methadone Treatment Program NPPES

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

SAN MATEO MEDICAL CENTER METHADONE TREATMENT PROGRAM (NPI 1487872974) is a healthcare organization registered as a methadone in Menlo Park, California and active in the NPI registry since April 2007. The organization lists Donna Dean, Director, as its authorized official.

NPPES Registry Identity

NPI1487872974
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameSAN MATEO MEDICAL CENTER METHADONE TREATMENT PROGRAM
Location Address795 WILLOW RD, BUILDING 332Menlo Park, CA 94025-2539
Mailing Address222 W 39th AveSan Mateo, CA 94403-4364 · (650) 573-2222
Phone(650) 578-7190
Organization SubpartNo
Authorized OfficialDonna DeanDirector · (650) 578-7190
Enumeration DateApril 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487872974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in CA · 4104
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
795 WILLOW RD, Menlo Park, CA 94025
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Other Identifiers 1

MedicaidHDC70098FCA

Other Providers at the Same Location NPPES 20

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

DR. TIMOTHY J AVERY PSY.D.
Psychologist (Clinical)
795 WILLOW RD
MENLO PARK, CA 94025
San Mateo County (650) 493-5000
COUNTY OF SAN MATEO
Clinic/Center (Federally Qualified Health Center (FQHC))
795 WILLOW RD, BLDG 334
MENLO PARK, CA 94025
San Mateo County (650) 599-3890
MRS. MARGARET A GIVENS LPT
Physical Therapist
795 WILLOW RD, ROOM E-106, BLDG 334
MENLO PARK, CA 94025
San Mateo County (650) 493-5000
MS. STEPHANIE ALEJANDRA GUZMAN LOPEZ MSW, LCSW, PPSC
Social Worker (Clinical)
795 WILLOW RD
MENLO PARK, CA 94025
San Mateo County (650) 493-5000
ALBERT LY PHD
Psychologist
795 WILLOW RD
MENLO PARK, CA 94025
San Mateo County (650) 614-9997
PALO ALTO VAMC
Department of Veterans Affairs (VA) Pharmacy
795 WILLOW RD
MENLO PARK, CA 94025
San Mateo County (650) 849-1292
DR. ZAREENA JABEEN HUSSAIN MD
Radiology (Diagnostic Radiology)
795 WILLOW RD, VA NATIONAL TELERADIOLOGY PROGRAM
MENLO PARK, CA 94025
San Mateo County (612) 629-7186
MEGHANN FLYNN LAI
Social Worker (Clinical)
795 WILLOW RD
MENLO PARK, CA 94025
San Mateo County (516) 521-2828

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 San Mateo Medical Center Methadone Treatment Program's NPI number?

The NPI number for San Mateo Medical Center Methadone Treatment Program is 1487872974. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is San Mateo Medical Center Methadone Treatment Program located?

San Mateo Medical Center Methadone Treatment Program is located at 795 Willow Rd Building 332, Menlo Park, CA 94025. The listed phone number is (650) 578-7190.

What is San Mateo Medical Center Methadone Treatment Program's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for San Mateo Medical Center Methadone Treatment Program was last updated on August 22, 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.