MEDICARE: SAN FRANCISCO HEALTH AUTHORITY

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	302R00000X	Health Maintenance Organization	9330423	CA

General Provider Information

NPI Number	:	1922419266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN FRANCISCO HEALTH AUTHORITY

Provider Business Mailing Address
First Line	:	PO BOX 194247
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94119-4247
Country	:	US
Telephone Number	:	415-547-7800
Fax Number	:	415-615-6450

Provider Business Practice Location Address
First Line	:	50 BEALE ST
Second Line	:	12TH FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94105-1813
Country	:	US
Telephone Number	:	415-547-7800
Fax Number	:	415-615-6450

Authorized Official
Title or Position	:	CEO
Name	:	YOLANDA RICHARDSON
Credential	:
Telephone Number	:	415-547-7800

Provider Enumeration Date	:	05/08/2014
Last Update Date	:	11/28/2022

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Directions to “SAN FRANCISCO HEALTH AUTHORITY ” Practice Location

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