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SAN MATEO ORTHOPEDIC MEDICAL GROUP INC
NPI 1679624563
Specialist in San Mateo, CA

Active since January 16, 2007
77 N SAN MATEO DR, SAN MATEO, CA 94401(650) 342-0854(650) 342-2198 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Mateo Orthopedic Medical Group Inc NPPES

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

SAN MATEO ORTHOPEDIC MEDICAL GROUP INC (NPI 1679624563) is a healthcare organization registered as a specialist in San Mateo, California and active in the NPI registry since January 2007. The organization lists Paul E. Hazelrig, President, as its authorized official.

NPPES Registry Identity

NPI1679624563
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSAN MATEO ORTHOPEDIC MEDICAL GROUP INC
Location Address77 N SAN MATEO DRSan Mateo, CA 94401-2889
Mailing Address77 N San Mateo DrSan Mateo, CA 94401-2889 · (650) 342-0854 · Fax (650) 342-2198
Phone(650) 342-0854
Fax(650) 342-2198
Organization SubpartNo
Authorized OfficialPaul E. HazelrigPresident · (650) 342-0854
Enumeration DateJanuary 16, 2007
Last NPPES UpdateSeptember 23, 2016
✔ NPI 1679624563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
77 N SAN MATEO DR, San Mateo, CA 94401
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Other Identifiers 1

Medicare UPINYYY40773YCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

MARIA THERESA GERONIMO PT
Physical Therapist
77 N SAN MATEO DR, SUITE 2
SAN MATEO, CA 94401
San Mateo County (650) 343-5678
DR. HOWARD A COHEN M.D.
Specialist
77 N SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 342-0854
MRS. NICOLE CASSIE CORWIN NP, RN
Nurse Practitioner
77 N SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 342-0854
SAMANTHA OLIVEIRA PA-C, MS, MPH
Physician Assistant
77 N SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 342-0849
KYLE TANEDO
Physical Therapist
77 N SAN MATEO DR, SUITE 2
SAN MATEO, CA 94401
San Mateo County (650) 652-2376
AMANDA GABRIELLA ANG DPT
Physical Therapist
77 N SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 343-5678
DR. PAUL E HAZELRIG JR. M.D.
Specialist
77 N SAN MATEO DR, SUITE 1
SAN MATEO, CA 94401
San Mateo County (650) 342-0854
RENEE M CLEEK DPT
Physical Therapist
77 N SAN MATEO DR, SUITE 2
SAN MATEO, CA 94401
San Mateo County (650) 343-5678

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 Orthopedic Medical Group Inc's NPI number?

The NPI number for San Mateo Orthopedic Medical Group Inc is 1679624563. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is San Mateo Orthopedic Medical Group Inc located?

San Mateo Orthopedic Medical Group Inc is located at 77 N San Mateo Dr, San Mateo, CA 94401. The listed phone number is (650) 342-0854.

What is San Mateo Orthopedic Medical Group Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for San Mateo Orthopedic Medical Group Inc was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.