Healthcare Provider Details

I. General information

NPI: 1417099789
Provider Name (Legal Business Name): CITY & COUNTY OF SAN FRANCISCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 HOWARD ST.
SAN FRANCISCO CA
94103-2638
US

IV. Provider business mailing address

1380 HOWARD STREET
SAN FRANCISCO CA
94103-2638
US

V. Phone/Fax

Practice location:
  • Phone: 415-255-3443
  • Fax: 415-252-3032
Mailing address:
  • Phone: 415-255-3443
  • Fax: 415-252-3032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHONA G. BAUTISTA-PERALTA
Title or Position: COMPLIANCE OFFICER
Credential: LCSW
Phone: 415-255-3443