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SOUTH COUNTY MENTAL HEALTH
NPI 1912926692
Community/Behavioral Health in Redwood City, CA

Active since July 19, 2006
802 BREWSTER AVE, REDWOOD CITY, CA 94063(650) 363-4111 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2024, Sep 21, 2022, Aug 23, 2022 and 2 more (5 updates tracked since 2020).

About South County Mental Health NPPES

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

SOUTH COUNTY MENTAL HEALTH (NPI 1912926692) is a healthcare organization registered as a community/behavioral health in Redwood City, California and active in the NPI registry since July 2006. The organization lists Jei Africa, Director, as its authorized official.

NPPES Registry Identity

NPI1912926692
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSAN MATEO COUNTY
Location Address802 BREWSTER AVERedwood City, CA 94063-1510
Mailing Address802 Brewster AveRedwood City, CA 94063-1510 · (650) 363-4111
Phone(650) 363-4111
Organization SubpartNo
Authorized OfficialJei AfricaDirector · (650) 613-2155
Enumeration DateJuly 19, 2006
Last NPPES UpdateDecember 10, 20245 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1912926692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
802 BREWSTER AVE, Redwood City, CA 94063
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Other Names 1

Doing Business AsSouth County Mental Health

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South County Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

593

Medicare enrollment records show 593 clinicians reassign Medicare billing to South County Mental Health, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 232 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 52

Psychiatry89
Nurse Practitioner82
Internal Medicine59
Marriage and Family Therapist42
Diagnostic Radiology29
Clinical Social Worker25
Anesthesiology24
Family Practice22
44 other specialties221

Nearest to this location (20)

See all 593
Jason Bromley, MD
Psychiatry
NPI 1598835142
802 BREWSTER AVE
Redwood City, CA 94063
(650) 363-4111
✔ PECOS✔ Accepts MedicareSame address
Aaron Gonzales, MFTI
Marriage and Family Therapist
NPI 1891178091
802 BREWSTER AVE
Redwood City, CA 94063
(650) 363-4111
✔ PECOSSame address
Sean Jenvay, MD
Psychiatry
NPI 1982079836
802 BREWSTER AVE
Redwood City, CA 94063
(650) 363-4111
✔ PECOS✔ Accepts MedicareSame address
Nicole Lederman, M.D.
Psychiatry
NPI 1699152694
802 BREWSTER AVE
Redwood City, CA 94063
(650) 363-4112
✔ PECOS✔ Accepts MedicareSame address
Lisa Liles, LCSW
Clinical Social Worker
NPI 1548752819
802 BREWSTER AVE
Redwood City, CA 94063
(650) 363-4111
✔ PECOS✔ Accepts MedicareSame address
Glenda Masis
Marriage and Family Therapist
NPI 1962698761
802 BREWSTER AVE
Redwood City, CA 94063
(650) 877-7091
✔ PECOS✔ Accepts MedicareSame address
Abigail Monberg, LCSW
Clinical Social Worker
NPI 1659752012
802 BREWSTER AVE
Redwood City, CA 94063
(650) 363-4111
✔ PECOS✔ Accepts MedicareSame address
Claudia Ramirez, LMFT
Marriage and Family Therapist
NPI 1578942207
802 BREWSTER AVE
Redwood City, CA 94063
(650) 599-3899
✔ PECOS✔ Accepts MedicareSame address
Evelyn Alarcon, MD
Psychiatry
NPI 1386873610
802 BREWSTER AVE
Redwood City, CA 94063
(650) 363-4111
✔ PECOS✔ Accepts MedicareSame address
Giacomo Solari
Marriage and Family Therapist
NPI 1033237516
802 BREWSTER AVE
Redwood City, CA 94063
(650) 301-8419
✔ PECOS✔ Accepts MedicareSame address
Chris Threatt, MD
Urology
NPI 1568466589
801 BREWSTER AVE STE 240
Redwood City, CA 94063
(650) 465-6038
✔ PECOS✔ Accepts Medicare0.1 mi
Carrie Gordon, NP
Nurse Practitioner
NPI 1134498926
300 BRADFORD STREET MAGUIRE CORRECTIONAL FACILITY
Redwood City, CA 94063
(650) 363-4241
✔ PECOS✔ Accepts Medicare0.1 mi
Catherine Lacroix
Marriage and Family Therapist
NPI 1366873879
647 VETERANS BLVD STE A
Redwood City, CA 94063
(628) 238-8415
✔ PECOS0.3 mi
Stephen Cummings, M.D.
Psychiatry
NPI 1063567063
617 VETERANS BLVD STE 116
Redwood City, CA 94063
(650) 206-8670
✔ PECOS0.3 mi
Mona Litvak, M.D.
Internal Medicine
NPI 1578610317
900 VETERANS BLVD STE 150
Redwood City, CA 94063
(650) 298-8774
✔ PECOS✔ Accepts Medicare0.3 mi
Tamar Besson, NP
Nurse Practitioner
NPI 1134287543
200 JAMES AVE
Redwood City, CA 94062
(650) 366-2927
✔ PECOS0.4 mi
Elaine Date, M.D.
Physical Medicine and Rehabilitation
NPI 1023107364
363 MAIN ST STE C
Redwood City, CA 94063
(650) 306-9490
✔ PECOS✔ Accepts Medicare0.5 mi
Michael Nwynn, MD
Obstetrics/Gynecology
NPI 1629157367
1150 VETERANS BLVD
Redwood City, CA 94063
(650) 299-2000
✔ PECOS✔ Accepts Medicare0.6 mi
Ahalya Joisha, M.D
Family Practice
NPI 1760536577
1150 VETERANS BLVD
Redwood City, CA 94063
(650) 299-2000
✔ PECOS✔ Accepts Medicare0.6 mi
Sun Leung, MD
Anesthesiology
NPI 1063590651
1150 VETERANS BLVD
Redwood City, CA 94063
(650) 299-2000
✔ PECOS✔ Accepts Medicare0.6 mi
See all 593 clinicians

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 County's NPI number?

The NPI number for San Mateo County is 1912926692. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as South County Mental Health.

Where is San Mateo County located?

San Mateo County is located at 802 Brewster Ave, Redwood City, CA 94063. The listed phone number is (650) 363-4111.

What is San Mateo County's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is San Mateo County enrolled in Medicare?

Yes. San Mateo County is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Mateo County?

According to the CMS Revalidation Reassignment List (October 2026 release), 593 clinicians in 52 Medicare specialties reassign their Medicare billing to San Mateo County. 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. The largest specialties are Psychiatry (89), Nurse Practitioner (82) and Internal Medicine (59). Of these, 10 practice at this address and 232 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 County was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.