NPIMap

Organization Active NPI

Mission Area Health Associates

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
National Provider Identifier
1013593912
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MISSION AREA HEALTH ASSOCIATES
Practice address
1580 Valencia St Ste 506
San Francisco, CA 94110-4418
Phone
(415) 852-4080
Fax
(415) 431-3178
NPI assigned
Mar 22, 2021
Organization subpart
Yes
Parent organization
MISSION AREA HEALTH ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Matilda Salako
Title
Cfo
Phone
(415) 552-1013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1580 Valencia St Ste 506
San Francisco, CA 94110-4418

Mailing address

240 Shotwell St
San Francisco, CA 94110-1323
Phone (415) 552-1013

Other names 1

  • Mission Bernal Adult Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040525000425 CA Part B Supplier - Clinic/Group Practice 1153302419 Receives reassigned benefits from 29 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA
O20210503001342 CA Part A Provider - Federally Qualified Health Center (FQHC) 1153302419 Practice locations: San Francisco, CA

Federally qualified health center certification: CCN 921957

Legal name
MISSION AREA HEALTH ASSOCIATES
Doing business as
MISSION NEIGHBORHOOD HEALTH CENTER
Certification status
Terminated Voluntary: merger or closure, Jan 31, 2026
Provider type (POS)
Federally qualified health center
Participating since
Apr 28, 2021
Last certification
Apr 28, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1975 in CA
Enrollment address
1580 Valencia St
Ste 506
San Francisco, CA 94110-4418

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Mission Neighborhood

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maria Molinero Individual Corporate DirectorBoard Member Oct 13, 2011
Ricardo Wohler Individual Corporate DirectorBoard Member- Treasurer Jun 12, 2008
Charles Moser Individual Corporate DirectorBoard Member Aug 16, 1999
Mission Area Health Associates Organization, San Francisco, CA Non-profit Operational/Managerial Control Apr 1, 2021 100%
Amelia Martinez Individual Corporate DirectorBoard Member Aug 8, 2013
Matilda Salako Individual Contracted Managing EmployeeCfo Feb 6, 2018
Corporate OfficerCfo Jan 1, 2020
Brenda Storey Individual Corporate OfficerCeo Jan 23, 2014
W-2 Managing EmployeeCeo Jan 23, 2014
Operational/Managerial ControlCeo Jan 1, 2008
Rita Franklin Individual Corporate DirectorBoard Member Aug 9, 2012
George Bach Y Rita Individual Corporate DirectorBoard Member- Vice President Aug 9, 2007

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mission Neighborhood Health CenterSan Francisco, CA, CCN 751111 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2000
Mission Neighborhood Health CenterSan Francisco, CA, CCN 921959 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2021
Mission Neighborhood Health CenterSan Francisco, CA, CCN A01071 Federally qualified health center Operational/Managerial Control (100%) Jan 3, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1013593912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SHOTWELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101323",
            "telephone_number": "415-552-1013",
            "fax_number": "415-431-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST STE 506",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104418",
            "telephone_number": "415-852-4080",
            "fax_number": "415-431-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION AREA HEALTH ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION AREA HEALTH ASSOCIATES",
        "enumeration_date": "2021-03-22",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "SALAKO",
        "authorized_official_first_name": "MATILDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-552-1013"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Bernal Adult Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Bernal Adult Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.