Organization Active NPI

Potrero Hill Health Center

  • Community/Behavioral Health Agency
  • San Francisco, CA
National Provider Identifier
1013261635
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
POTRERO HILL HEALTH CENTER
Practice address
1050 Wisconsin St
San Francisco, CA 94107-3328
Phone
(415) 920-1263
Fax
(415) 550-1539
NPI assigned
Nov 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Eula Mae Sherman
Title
Behaviorist Assistant
Phone
(415) 920-1263

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1050 Wisconsin St
San Francisco, CA 94107-3328

Mailing address

13475 Bancroft Ave Apt 101
San Leandro, CA 94578-2563
Phone (415) 240-1683

Other names 1

  • Department of Public Health Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1013261635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13475 BANCROFT AVE APT 101",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782563",
            "telephone_number": "415-240-1683",
            "fax_number": "415-550-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WISCONSIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073328",
            "telephone_number": "415-920-1263",
            "fax_number": "415-550-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTRERO HILL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "EULA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "BEHAVIORIST ASSISTANT",
        "authorized_official_telephone_number": "415-920-1263",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Public Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.