Organization Active NPI

City and Couny of San Francisco

  • Adult Mental Health Clinic/Center
  • San Francisco, CA
National Provider Identifier
1164613832
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CITY AND COUNY OF SAN FRANCISCO
Practice address
720 Sacramento St
San Francisco, CA 94108-2505
Phone
(415) 392-4453
Fax
(415) 433-0953
NPI assigned
Aug 7, 2007
Organization subpart
Yes
Parent organization
CITY AND COUNTY OF SAN FRANCISCOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Authorized official

Name
Garrett Chatfield
Title
Interim Compliance Officer, Behavio
Phone
(415) 255-3706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

720 Sacramento St
San Francisco, CA 94108-2505

Mailing address

720 Sacramento St
San Francisco, CA 94108-2505
Phone (415) 392-4453

Other names 1

  • Chinatown Child Development Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050309000770 CA Part B Supplier - Clinic/Group Practice 1658280748 Receives reassigned benefits from 1,564 practitioners
42 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA

Other NPIs on the same Medicare enrollment 39

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

View all 39

National Provider Directory

National Provider Directory
Tax ID family
San Francisco HLTH Ctr141 organizations share this tax ID, including this one
Part of
San Francisco HLTH Ctr

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

720 Sacramento St
San Francisco, CA 94108
Phone (415) 392-4453

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1164613832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SACRAMENTO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941082505",
            "telephone_number": "415-392-4453",
            "fax_number": "415-433-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SACRAMENTO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941082505",
            "telephone_number": "415-392-4453",
            "fax_number": "415-433-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY AND COUNY OF SAN FRANCISCO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY AND COUNTY OF SAN FRANCISCO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "CHATFIELD",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "INTERIM COMPLIANCE OFFICER, BEHAVIO",
        "authorized_official_telephone_number": "415-255-3706"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chinatown Child Development Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chinatown Child Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 13, 2020; 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.