Healthcare Provider Details

I. General information

NPI: 1639031750
Provider Name (Legal Business Name): CITY & COUNTY OF SAN FRANCISCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 ARELIOUS WALKER DR
SAN FRANCISCO CA
94124-3804
US

IV. Provider business mailing address

1001 POTRERO AVE BLDG 20 WARD 24
SAN FRANCISCO CA
94110-3518
US

V. Phone/Fax

Practice location:
  • Phone: 628-217-5340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY ARNOLD
Title or Position: DEPUTY DIRECTOR OF PFS
Credential:
Phone: 628-754-3351