Active NPI
Potrero Hill Health Center
- Community/Behavioral Health Agency
- San Francisco, CA
National Provider Identifier
1013261635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.