Mateo Lodge, Inc.
NPI 1255474920 · Mental Health Clinic/Center (Including Community Mental Health Center) · San Mateo, CA
Mateo Lodge, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in San Mateo, CA (NPI 1255474920).
Provider details
- NPI number
- 1255474920
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Beth Sandoval, Ceo(650) 703-3462
- License
- 415600236 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Other name
- Humboldt House
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Frequently asked questions
- What is Mateo Lodge, Inc.'s NPI number?
- Mateo Lodge, Inc.'s National Provider Identifier (NPI) is 1255474920, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mateo Lodge, Inc.?
- Mateo Lodge, Inc. is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Mateo Lodge, Inc. located?
- Mateo Lodge, Inc.'s practice location on file with NPPES is 232 S Humboldt St, San Mateo, CA 94401-2954.
- What is Mateo Lodge, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mateo Lodge, Inc. is (650) 568-9006.
- Who is the authorized official for Mateo Lodge, Inc.?
- The authorized official listed on Mateo Lodge, Inc.'s NPPES record is Mary Beth Sandoval, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mateo Lodge, Inc.'s NPI active?
- Yes — Mateo Lodge, Inc.'s NPI (1255474920) is active in the NPPES registry as of the last update on 2025-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.