MEDICARE: HEALTHRIGHT 360

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1487288874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHRIGHT 360

Provider Business Mailing Address
First Line	:	1563 MISSION ST FL 4
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2592
Country	:	US
Telephone Number	:	415-762-3700
Fax Number	:	415-865-0119

Provider Business Practice Location Address
First Line	:	1750 S WHITE RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95127-4760
Country	:	US
Telephone Number	:	408-271-3900
Fax Number	:	408-271-3909

Authorized Official
Title or Position	:	VP OF COMPLIANCE
Name	:	DENISE WILLIAMS
Credential	:
Telephone Number	:	415-740-2311

Provider Enumeration Date	:	02/25/2020
Last Update Date	:	02/25/2020

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Directions to “HEALTHRIGHT 360 ” Practice Location

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