MEDICARE: CITY AND 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1528287075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY AND COUNTY OF SAN FRANCISCO

Provider Business Mailing Address
First Line	:	1380 HOWARD ST
Second Line	:	5TH FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2638
Country	:	US
Telephone Number	:	415-255-3699
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 MISSION ST
Second Line	:	5TH FLOOR
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2414
Country	:	US
Telephone Number	:	415-355-3680
Fax Number	:	415-355-3683

Authorized Official
Title or Position	:	DIRECTOR CBHS
Name	:	DR. ROBERT PAUL CABAJ
Credential	:	M.D.
Telephone Number	:	415-255-3401

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	09/03/2008

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1528130473 — MS. SANDRA TEIXEIRA MSW
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1265632012 — EDWARD R PATTON LCSW
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1376787341 — ALLURE MOBILITY & MEDICAL SUPPLY
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