Healthcare Provider Details

I. General information

NPI: 1023050747
Provider Name (Legal Business Name): CITY & COUNTY OF SAN FRANCISCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 WOODSIDE AVENUE
SAN FRANCISCO CA
94127-1221
US

IV. Provider business mailing address

1001 POTRERO AVENUE BUILDING 10 WARD 14 ROOM 1405
SAN FRANCISCO CA
94110
US

V. Phone/Fax

Practice location:
  • Phone: 415-753-7811
  • Fax: 415-753-7759
Mailing address:
  • Phone: 415-206-8338
  • Fax: 206-206-3837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY JAMES ARNOLD
Title or Position: DEPUTY DIRECTOR, PATIENT FINANCIAL
Credential:
Phone: 415-759-3351