Healthcare Provider Details

I. General information

NPI: 1649837501
Provider Name (Legal Business Name): CITY & COUNTY OF SAN FRANCISCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2019
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MASONIC AVE
SAN FRANCISCO CA
94118-4415
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 415-567-8370
  • Fax: 415-292-5531
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

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