MEDICARE: CITY & COUNTY OF SAN FRANCISCO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1386864346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY & COUNTY OF SAN FRANCISCO

Provider Business Mailing Address
First Line	:	759 SOUTH VAN NESS AVENUE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-1908
Country	:	US
Telephone Number	:	415-695-6955
Fax Number	:	415-695-6963

Provider Business Practice Location Address
First Line	:	759 SOUTH VAN NESS AVENUE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-1908
Country	:	US
Telephone Number	:	415-642-4550
Fax Number	:	415-695-6963

Authorized Official
Title or Position	:	COMPLIANCE OFFICER
Name	:	CHONA G. BAUTISTA-PERALTA
Credential	:	LCSW
Telephone Number	:	415-255-3443

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	08/22/2014

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1487672507 — DR. THOMAS BLEECKER PHD
Practice Location Address:

755 S VAN NESS AVE
SAN FRANCISCO, CA
94110-1908

Practice Phone: 415-642-4515
Practice Fax:

1841380201 — MISS CHANDRA A. THOMAS LMFT
Practice Location Address:

755 S VAN NESS AVE
SAN FRANCISCO, CA
94110-1908

Practice Phone: 415-642-4527
Practice Fax: 415-642-4529

1033272968 — MAUREEN GAMMON
Practice Location Address:

759 S VAN NESS AVE
SAN FRANCISCO, CA
94110-1908

Practice Phone: 415-642-4555
Practice Fax: 415-695-6963

1689721516 — MS. GILMA CRUZ
Practice Location Address:

759 S VAN NESS AVE
SAN FRANCISCO, CA
94110-1908

Practice Phone: 415-642-4567
Practice Fax: 415-695-6963

1891848982 — MARTHA BORJA ACACIO LMFT
Practice Location Address:

755 S VAN NESS AVE
SAN FRANCISCO, CA
94110-1908

Practice Phone: 415-642-4507
Practice Fax: 415-695-6961

1902949621 — MACEO BARBER
Practice Location Address:

755 S VAN NESS AVE
SAN FRANCISCO, CA
94110-1908

Practice Phone: 415-642-4502
Practice Fax: 415-642-4502

Directions to “CITY & COUNTY OF SAN FRANCISCO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.