Active NPI
Jewish Home for the Aged Phcy
- Long Term Care Pharmacy
- San Francisco, CA
National Provider Identifier
1154334498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- JEWISH HOME FOR THE AGED PHCY
- Practice address
- 302 Silver Ave
San Francisco, CA 94112-1510 - Phone
- (415) 469-2265
- Fax
- (415) 469-2369
- NPI assigned
- Aug 15, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Simon, PHD
- Title
- Admin
- Phone
- (415) 469-2210
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | HSP16504 | CA | |
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
302 Silver Ave
San Francisco, CA 94112-1510
Mailing address
302 Silver Ave
San Francisco, CA 94112-1510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0544545 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PHB165040 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Hebrew Home for the Aged
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- San Francisco, CA
- NPI 1215154554
-
dba Jewish Home
- Skilled Nursing Facility
- San Francisco, CA
- NPI 1588725352
-
- Psychologist
- San Francisco, CA
- NPI 1629145610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1154334498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 SILVER AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941121510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 SILVER AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941121510",
"telephone_number": "415-469-2265",
"fax_number": "415-469-2369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEWISH HOME FOR THE AGED PHCY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SIMON",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "415-469-2210",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "HSP16504",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0544545",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHB165040",
"state": "CA"
}
],
"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 Sep 11, 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.