NPIMap

Organization Active NPI

Friendship House Association of American Indians, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Francisco, CA
National Provider Identifier
1215068481
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
380004AN Issued in CA
Legal business name
FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS, INC.
Practice address
56 Julian Ave
San Francisco, CA 94103-3507
Phone
(415) 865-0964
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Clayton Andrew DumontNPI 1487236170
Title
Chief Operating Officer
Phone
(415) 865-0964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 380004AN CA Primary

Addresses

Primary practice location

56 Julian Ave
San Francisco, CA 94103-3507

Mailing address

56 Julian Ave
San Francisco, CA 94103-3507
Phone (415) 865-0964

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2142625Friendship House Assoc of American Indians56 Julian Ave, San Francisco, CA 94103Certificate of waiverJan 15, 2028

National Provider Directory

National Provider Directory

Locations

56 Julian Ave
San Francisco, CA 94103
Phone (415) 865-0964

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1215068481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 JULIAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033507",
            "telephone_number": "415-865-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 JULIAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033507",
            "telephone_number": "415-865-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "DUMONT",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "415-865-0964"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "380004AN",
            "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 Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.