MEDICARE: CITY & COUNTY OF SAN FRANCISCO

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	261QP2300X	Primary Care Clinic/Center		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528194511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY & COUNTY OF SAN FRANCISCO

Provider Business Mailing Address
First Line	:	1001 POTRERO AVE BLDG 10
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-3518
Country	:	US
Telephone Number	:	415-206-8338
Fax Number	:

Provider Business Practice Location Address
First Line	:	1351 24TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122-1616
Country	:	US
Telephone Number	:	415-682-1900
Fax Number	:	415-753-8134

Authorized Official
Title or Position	:	DEPUTY DIRECTOR, PFS
Name	:	TIMOTHY ARNOLD
Credential	:
Telephone Number	:	415-759-3351

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	07/02/2025

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