OrganizationActive
Wallgreens
NPI 1154604841 · Community Health Clinic/Center · San Carlos, CA
Provider details
- NPI number
- 1154604841
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Conja So-Rosillo, Pharmacist(650) 637-9777
- License
- RPH52616 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1414 El Camino Real
San Carlos, CA 94070-0000
Phone: (650) 637-9777
Fax: (650) 637-1012
Approximate (ZIP-level) locationGet directions
Mailing address
1414 El Camino Real
San Carlos, CA 94070
Registry dates
- Enumerated
- 2011-09-20
- Last updated
- 2011-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.