Healthcare Provider Details

I. General information

NPI: 1538101126
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: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 CAYUGA AVENUE
SAN FRANCISCO CA
94112
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: 415-469-4512
  • Fax: 415-469-4096
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 ARNOLD
Title or Position: DEPUTY DIRECTOR, PFS
Credential:
Phone: 415-759-3351