Active NPI
Mission Area Health Associates
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
National Provider Identifier
1043483803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- MISSION AREA HEALTH ASSOCIATES
- Practice address
- 4434 Mission St
San Francisco, CA 94112-1927 - Phone
- (415) 406-1353
- NPI assigned
- Apr 11, 2008
- Organization subpart
- Yes
- Parent organization
- MISSION AREA HEALTH ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Silvia Siu
- Title
- Chief Financial Officer
- Phone
- (415) 552-1013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
4434 Mission St
San Francisco, CA 94112-1927
Mailing address
240 Shotwell St
San Francisco, CA 94110-1323
Phone (415) 552-3870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EAP11005F | Other | CA | CA EAPC PROVIDER |
Other names 1
- Mission Neighborhood Health Center Excelsior Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Mission Neighborhood
- Part of
- Mission Neighborhood
Other organizations with this tax ID 20
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-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207872000000",
"number": "1043483803",
"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": "415-552-3870",
"fax_number": "415-431-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4434 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941121927",
"telephone_number": "415-406-1353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION AREA HEALTH ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MISSION AREA HEALTH ASSOCIATES",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A",
"authorized_official_last_name": "SIU",
"authorized_official_first_name": "SILVIA",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "415-552-1013",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA EAPC PROVIDER",
"identifier": "EAP11005F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mission Neighborhood Health Center Excelsior Clinic",
"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 Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.