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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: November 01, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Mateo Orthopedic Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to San Mateo Orthopedic Medical Group Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Kaye Labasan, NP
Nurse Practitioner
NPI 1619756400
100 S ELLSWORTH AVE STE 301
San Mateo, CA 94401
(650) 342-0854
✔ PECOS0.1 mi
Paul Hazelrig, M.D.
Orthopedic Surgery
NPI 1477568061
77 N SAN MATEO DR SUITE 1
San Mateo, CA 94401
(650) 342-0854
✔ PECOS0.2 mi
Dennis Park, M.D.
Orthopedic Surgery
NPI 1881600328
77 N SAN MATEO DR
San Mateo, CA 94401
(650) 342-0854
✔ PECOS✔ Accepts Medicare0.2 mi
Felix Chen, MD PHD
Pain Management
NPI 1265591937
1501 TROUSDALE DR FL 3
Burlingame, CA 94010
(650) 652-8448
✔ PECOS✔ Accepts Medicare3.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is San Mateo Orthopedic Medical Group Inc enrolled in Medicare?

Yes. San Mateo Orthopedic Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Mateo Orthopedic Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to San Mateo Orthopedic Medical Group Inc, in Nurse Practitioner, Orthopedic Surgery and Pain Management. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 10 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.