MEDICARE: EQUITY HEALTH

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	261QF0400X	Federally Qualified Health Center (FQHC)	220000094	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	EAP11425F	OTHER		EAPC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	HAP11425F	OTHER	CA	FAMPACT

General Provider Information

NPI Number	:	1528143401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EQUITY HEALTH

Provider Business Mailing Address
First Line	:	229 7TH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-4003
Country	:	US
Telephone Number	:	415-503-6000
Fax Number	:	415-503-6099

Provider Business Practice Location Address
First Line	:	555 MINNA ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2831
Country	:	US
Telephone Number	:	415-697-0490
Fax Number	:	415-697-0491

Authorized Official
Title or Position	:	CEO
Name	:	DR. ASA M SATARIANO
Credential	:	DHA, MBA
Telephone Number	:	415-503-6055

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	05/17/2024

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Directions to “EQUITY HEALTH ” Practice Location

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