NPI Code Details Logo

NPI 1437191087

NPI 1437191087 : CITY & COUNTY OF SAN FRANCISCO : SAN FRANCISCO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1437191087
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CITY & COUNTY OF SAN FRANCISCO 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/11/2006
-----------------------------------------------------
    Last Update Date     |    07/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2401 KEITH ST 
-----------------------------------------------------
    City                 |    SAN FRANCISCO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94124
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    415-671-7000
-----------------------------------------------------
    Fax                  |    415-822-3620
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1001 POTRERO AVE BLDG 10 WARD 14 ROOM 1405
-----------------------------------------------------
    City                 |    SAN FRANCISCO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94110
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    415-206-8338
-----------------------------------------------------
    Fax                  |    206-206-3837
-----------------------------------------------------

=====================================================
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        |    1223D0001X
-----------------------------------------------------
    Taxonomy Name        |    Public Health Dentistry
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    171M00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Manager/Care Coordinator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    261QF0400X
-----------------------------------------------------
    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    261QP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.