Provider Demographics
NPI:1609290030
Name:SAN MATEO COUNTY AGING & DISABILITY SERVICES
Entity type:Organization
Organization Name:SAN MATEO COUNTY AGING & DISABILITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH SERVICES MANAGER II
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-713-8230
Mailing Address - Street 1:2000 ALAMEDA DE LAS PULGAS, SUITE 200
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403
Mailing Address - Country:US
Mailing Address - Phone:650-573-3900
Mailing Address - Fax:
Practice Address - Street 1:2000 ALAMEDA DE LAS PULGAS, SUITE 200
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403
Practice Address - Country:US
Practice Address - Phone:650-573-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service