Daly City Youth Health Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

58560 Issued in CA

Legal business name

DALY CITY YOUTH HEALTH CENTER

Practice address

2780 Junipero Serra Blvd
Daly City, CA 94015-1634

Phone

(650) 985-7000

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Eric Mitchell Stullman, MA

Title

Mfti

Phone

(650) 550-7678

Specialties & licenses 1

Addresses

Tax ID family

Daly City Youth Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Jefferson Union High School District

  • Local Education Agency (LEA)
  • Daly City, CA
  • NPI 1821112954
  NPD tax ID

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1053540195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 JUNIPERO SERRA BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151634",
            "telephone_number": "650-985-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 JUNIPERO SERRA BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151634",
            "telephone_number": "650-985-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALY CITY YOUTH HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "STULLMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "MFTI",
        "authorized_official_telephone_number": "650-550-7678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "58560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daly City Hospitalist Group, Inc.
• Daly City Optometry, a Professional Corporation
• Daly City Pathology Medical Group Inc
• Daly City Peninsula Partnership Collaborative
• Daly City Physical Therapy Inc
• Daniel J Buckley, MD, Inc
• Quynh Nhu Nguyen Daniels, PHARM.D
• Danny K L Chan
• Samantha Dao, M.D
• Meta Indrajanti Darmawan, DDS

• Community/Behavioral Health Agency in Daly City, CA
• Providers in Daly City, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.