=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235205063
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY & COUNTY OF SAN FRANCISCO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/24/2006
-----------------------------------------------------
Last Update Date | 07/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1001 POTRERO AVE
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94110-3518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-206-8524
-----------------------------------------------------
Fax | 415-648-8369
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1001 POTRERO AVE BUILDING 10 WARD 14 ROOM 1405
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94110-3518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-206-8338
-----------------------------------------------------
Fax | 415-206-3837
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DEPUTY DIRECTOR, PFS
-----------------------------------------------------
Name | TIMOTHY ARNOLD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 415-759-3351
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP0905X
-----------------------------------------------------
Taxonomy Name | State or Local Public Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------