NPIMap

Organization Active NPI

Asian and Pacific Islander Wellness Center, Inc.

Doing business as San Francisco Community Health Center

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
National Provider Identifier
1225734650
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ASIAN AND PACIFIC ISLANDER WELLNESS CENTER, INC.
Doing business as
San Francisco Community Health Center
Practice address
1460 Pine St
San Francisco, CA 94109-4720
Phone
(415) 292-3420
NPI assigned
Feb 7, 2023
Last updated
Feb 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Lance Toma, LCSW
Title
Chief Executive Officer
Phone
(415) 292-3420

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU

Addresses

Primary practice location

1460 Pine St
San Francisco, CA 94109-4720

Mailing address

730 Polk St
San Francisco, CA 94109-7813
Phone (415) 253-1279

Other names 1

  • San Francisco Community Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230720000331 CA Part A Provider - Federally Qualified Health Center (FQHC) 0143522839 Practice locations: San Francisco, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225734650. Details of each certification follow.

Federally qualified health center certification: CCN A01178

Legal name
ASIAN AND PACIFIC ISLANDER WELLNESS CENTER, INC.
Doing business as
SAN FRANCISCO COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 19, 2023
Last certification
Jul 19, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 22, 1989 in CA
Enrollment address
1460 Pine St
San Francisco, CA 94109-4720

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Asian and Pacific Islander2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1460 Pine St
San Francisco, CA 94109
Phone (415) 202-0580

1800 Market St
Ste 401
San Francisco, CA 94102
Phone (415) 292-3400

730 Polk St
Fl 4
San Francisco, CA 94109
Phone (415) 292-3400

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lance Toma Individual Corporate Officer Dec 13, 1999
W-2 Managing EmployeeCeo Dec 13, 1999
Michael Rabanal Individual Corporate Director Nov 19, 2020
Melisa Marquez Individual Corporate Director Nov 19, 2020
Ben Plumley Individual Corporate Director May 19, 2020

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Asian and Pacific Islander Wellness Center, Inc.San Francisco, CA, CCN 751850 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2015
Aug 1, 2015
Aug 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1225734650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 POLK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941097813",
            "telephone_number": "415-253-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 PINE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094720",
            "telephone_number": "415-292-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN AND PACIFIC ISLANDER WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "TOMA",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-292-3420",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Francisco Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.