MEDICARE: WESTSIDE COMMUNITY MENTAL HEALTH, INC.

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	385H00000X	Respite Care

General Provider Information

NPI Number	:	1588536973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTSIDE COMMUNITY MENTAL HEALTH, INC.

Provider Business Mailing Address
First Line	:	1153 OAK ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-2216
Country	:	US
Telephone Number	:	415-431-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1018 MISSION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-2813
Country	:	US
Telephone Number	:	415-361-4950
Fax Number	:

Authorized Official
Title or Position	:	CHIEF COMPLIANCE & OPERATING OFFICE
Name	:	SHALECE BOOKER
Credential	:
Telephone Number	:	415-431-9000

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	09/23/2025

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