NPIMap

Organization Active NPI

San Francisco Community College District

  • Student Health Clinic/Center
  • San Francisco, CA
National Provider Identifier
1043359615
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
191280 Issued in CA
Legal business name
SAN FRANCISCO COMMUNITY COLLEGE DISTRICT
Practice address
50 Phelan Ave
HC 100
San Francisco, CA 94112-1821
Phone
(415) 239-3110
Fax
(415) 239-3193
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter Goldstein
Title
Vice Chancellor of Administration
Phone
(415) 239-3192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 191280 CA Primary

Addresses

Primary practice location

50 Phelan Ave
HC 100
San Francisco, CA 94112-1821

Mailing address

50 Phelan Ave
HC 100
San Francisco, CA 94112-1821
Phone (415) 239-3110

Other names 1

  • Student Health Service, SF City College Other name

National Provider Directory

National Provider Directory
Tax ID family
San Francisco Community College District4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043359615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PHELAN AVE",
            "address_2": "HC 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121821",
            "telephone_number": "415-239-3110",
            "fax_number": "415-239-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PHELAN AVE",
            "address_2": "HC 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121821",
            "telephone_number": "415-239-3110",
            "fax_number": "415-239-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "VICE CHANCELLOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "415-239-3192",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "191280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health Service, SF City College",
            "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 Aug 22, 2020; 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.