NPIMap

Organization Active NPI

Institute on Aging

  • Primary Care Clinic/Center
  • San Francisco, CA
National Provider Identifier
1114132941
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
220000356 Issued in CA
Legal business name
INSTITUTE ON AGING
Practice address
3575 Geary Blvd
San Francisco, CA 94118-3212
Phone
(415) 750-4180
Fax
(415) 750-5341
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Roxana R Blades
Title
Cfo
Phone
(415) 750-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 220000356 CA Primary

Addresses

Primary practice location

3575 Geary Blvd
San Francisco, CA 94118-3212

Mailing address

3575 Geary Blvd
San Francisco, CA 94118-3212
Phone (415) 750-4180

National Provider Directory

National Provider Directory
Tax ID family
Institute on Aging10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

3575 Geary Blvd
San Francisco, CA 94118
Phone (415) 447-1000

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1114132941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183212",
            "telephone_number": "415-750-4180",
            "fax_number": "415-750-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183212",
            "telephone_number": "415-750-4180",
            "fax_number": "415-750-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "BLADES",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-750-4101"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "220000356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 27, 2022; 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.