Active NPI
Samuel Goitia.Ancheta, MHRS
- Rehabilitation Practitioner
- San Francisco, CA
National Provider Identifier
1093907552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 921 Lincoln Way
San Francisco, CA 94122-2210 - Phone
- (415) 664-1414
- NPI assigned
- Aug 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Primary | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1462880322 | CA |
Addresses
Primary practice location
921 Lincoln Way
San Francisco, CA 94122-2210
Mailing address
921 Lincoln Way
San Francisco, CA 94122-2210
Phone (415) 916-5812
Other practice location 1
170 9th St
San Francisco, CA 94103-2603
Phone (916) 415-8510
Other names 1
- Mr. Samuel Mapalo Ancheta Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1462880322 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Places, Inc | Community/Behavioral Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1477690667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1093907552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 LINCOLN WAY",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941222210",
"telephone_number": "415-916-5812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 LINCOLN WAY",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941222210",
"telephone_number": "415-664-1414"
}
],
"practiceLocations": [
{
"address_1": "170 9th St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941032603",
"country_code": "US",
"telephone_number": "916-415-8510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOITIA.ANCHETA",
"first_name": "SAMUEL",
"credential": "MHRS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-17",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1462880322",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMUEL",
"last_name": "ANCHETA",
"middle_name": "MAPALO",
"prefix": "MR.",
"suffix": "JR.",
"credential": "MHRS",
"code": "1",
"type": "Former 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 Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.