=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578787925
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY AND COUNTY OF SAN FRANCISCO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2007
-----------------------------------------------------
Last Update Date | 09/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1001 POTRERO AVENUE SAN FRANCISCO GENERAL HOSPITAL SA PROGRAMS WARD 93
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94110-3518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-206-6479
-----------------------------------------------------
Fax | 415-206-8942
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1001 POTRERO AVE # WARD93
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94110-3518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 628-206-8412
-----------------------------------------------------
Fax | 628-206-6875
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROGRAM DIRECTOR
-----------------------------------------------------
Name | HASIJA SISIC
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 628-206-5239
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM2800X
-----------------------------------------------------
Taxonomy Name | Methadone Clinic
-----------------------------------------------------
License Number | 38-07
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------