Organization Active NPI

YMCA of San Francisco

  • Community/Behavioral Health Agency
  • Pacifica, CA
National Provider Identifier
1194845156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YMCA OF SAN FRANCISCO
Doing business as
Youth Service Bureau- Pacifica
Practice address
435 Edgemar Ave
Pacifica, CA 94044-1961
Phone
(650) 355-3900
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles Collins
Title
Ceo
Phone
(415) 281-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

435 Edgemar Ave
Pacifica, CA 94044-1961

Mailing address

631 Howard St
San Francisco, CA 94105-3907
Phone (415) 281-6700

Other names 1

  • Youth Service Bureau- Pacifica Doing business as

National Provider Directory

National Provider Directory
Tax ID family
YMCA Cardiac Therapy CL8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

435 Edgemar Ave
Pacifica, CA 94044
Phone (650) 355-3900

631 Howard St
San Francisco, CA 94105

Practitioners & affiliated clinicians

Practitioners 7

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194845156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 HOWARD ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053907",
            "telephone_number": "415-281-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 EDGEMAR AVE",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441961",
            "telephone_number": "650-355-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-281-6700"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Service Bureau- Pacifica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacifica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.