OrganizationActive
Renew Life Center
NPI 1609004084 · Clinic/Center · San Mateo, CA
Provider details
- NPI number
- 1609004084
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julieta Gabiola, President(650) 350-1700
- License
- AG51233 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
211 De Anza Blvd
San Mateo, CA 94402-3989
Phone: (650) 350-1700
Fax: (650) 341-3604
Street-level locationGet directions
Mailing address
211 De Anza Blvd
San Mateo, CA 94402-3989
Registry dates
- Enumerated
- 2009-06-24
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.