NPIMap

Organization Active NPI

Progress Foundation

  • Mental Illness Community Based Residential Treatment Facility
  • San Francisco, CA
National Provider Identifier
1063577906
Registry record updated Nov 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
385600111 Issued in CA
Legal business name
PROGRESS FOUNDATION
Practice address
1443 7TH Avenue
San Francisco, CA 94122-3702
Phone
(415) 242-8034
Fax
(415) 242-8039
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2022

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

Authorized official

Name
Steven Fields, MA
Title
Executive Director
Phone
(415) 861-0828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 385600111 CA Primary

Addresses

Primary practice location

1443 7TH Avenue
San Francisco, CA 94122-3702

Mailing address

368 Fell St
San Francisco, CA 94102-5144
Phone (415) 861-0828

Other identifiers 2

IdentifierTypeStateIssuer
0000038A4MedicaidCA
01428805OtherCAMEDICAL PIN

Other names 1

  • Avenues Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address avenues@progressfoundation.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120731000487 CA Part B Supplier - Clinic/Group Practice 2264698588 Receives reassigned benefits from 8 practitioners
4 other NPIs on this enrollment
Practice locations: San Francisco, CA

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668297600000",
    "number": "1063577906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 FELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025144",
            "telephone_number": "415-861-0828",
            "fax_number": "415-861-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 7TH AVENUE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223702",
            "telephone_number": "415-242-8034",
            "fax_number": "415-242-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-861-0828",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "385600111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000038A4",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PIN",
            "identifier": "01428805",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avenues@progressfoundation.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "program email",
            "address_1": "1443 7th Avenue",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941223702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Avenues",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avenues",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Avenues",
            "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 Nov 13, 2022; 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.