NPIMap

Organization Active NPI

Instituto Familiar de la Raza

  • Community/Behavioral Health Agency
  • San Francisco, CA
National Provider Identifier
1033267497
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
220000461 Issued in CA
Legal business name
INSTITUTO FAMILIAR DE LA RAZA
Doing business as
Instituto Familiar de La Raza
Practice address
2919 Mission Street
San Francisco, CA 94110
Phone
(415) 229-0500
Fax
(415) 647-3662
NPI assigned
Jan 8, 2007
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Gloria Arciniega Romero, MPA
Title
Excutive Director
Phone
(415) 229-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 220000461 CA Primary

Addresses

Primary practice location

2919 Mission Street
San Francisco, CA 94110

Mailing address

2919 Mission Street
San Francisco, CA 94110
Phone (415) 229-0500

Other identifiers 1

IdentifierTypeStateIssuer
FV015AOtherCAPTAN

Other names 1

  • Instituto Familiar de La Raza Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120301000070 CA Part B Supplier - Clinic/Group Practice 5597923045 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory
Tax ID family
Instituto Familiar de la Raza6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1033267497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 MISSION STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-229-0500",
            "fax_number": "415-647-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 MISSION STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-229-0500",
            "fax_number": "415-647-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO FAMILIAR DE LA RAZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-07-25",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "ARCINIEGA",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-229-0500",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "220000461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FV015A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Instituto Familiar de La Raza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.