Healthcare Provider Details
I. General information
NPI: 1487638490
Provider Name (Legal Business Name): EQUITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/02/2005
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
551 MINNA ST
SAN FRANCISCO CA
94103
US
IV. Provider business mailing address
229 7TH ST
SAN FRANCISCO CA
94103-4003
US
V. Phone/Fax
- Phone: 415-626-2951
- Fax:
- Phone: 415-503-6000
- Fax: 415-503-6099
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ASA
M
SATARIANO
Title or Position: CEO
Credential: DHA, MBA
Phone: 415-503-6055