Organization Active NPI

Instituto Familiar de la Raza

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Francisco, CA
National Provider Identifier
1225544638
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INSTITUTO FAMILIAR DE LA RAZA
Practice address
5128 Mission St
San Francisco, CA 94112
Phone
(415) 229-0500
Fax
(415) 647-3662
NPI assigned
Dec 20, 2017
Organization subpart
Yes
Parent organization
INSTITUTO FAMILIAR DE LA RAZAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Clery Villacrez
Title
Contracts Manager
Phone
(415) 229-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5128 Mission St
San Francisco, CA 94112

Mailing address

2919 Mission St
San Francisco, CA 94110-3917
Phone (415) 229-0500

Other identifiers 1

IdentifierTypeStateIssuer
IFR2919INOtherSAM -SYSTEM OF AWARD MANAGEMENT REGISTRATION

National Provider Directory

National Provider Directory
Tax ID family
Instituto Familiar de la Raza6 organizations share this tax ID, including this one
Part of
Instituto Familiar de la Raza

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1225544638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103917",
            "telephone_number": "415-229-0500",
            "fax_number": "415-647-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94112",
            "telephone_number": "415-229-0500",
            "fax_number": "415-647-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO FAMILIAR DE LA RAZA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSTITUTO FAMILIAR DE LA RAZA",
        "enumeration_date": "2017-12-20",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "VILLACREZ",
        "authorized_official_first_name": "CLERY",
        "authorized_official_title_or_position": "CONTRACTS MANAGER",
        "authorized_official_telephone_number": "415-229-0500"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAM -SYSTEM OF AWARD MANAGEMENT REGISTRATION",
            "identifier": "IFR2919IN",
            "state": null
        }
    ],
    "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 18, 2018; 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.