Organization Active NPI

California Pacific Medical Center

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1235339052
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT41112 Issued in CA
Legal business name
CALIFORNIA PACIFIC MEDICAL CENTER
Practice address
1625 Van Ness Ave
3Rd Floor
San Francisco, CA 94109-3608
Phone
(415) 600-6200
Fax
(415) 749-1433
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Dr. Suzanne Giraurdo, PHD
Title
Clinical Director
Phone
(415) 600-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFT41112 CA Primary

Addresses

Primary practice location

1625 Van Ness Ave
3Rd Floor
San Francisco, CA 94109-3608

Mailing address

1625 Van Ness Ave
3Rd Floor
San Francisco, CA 94109-3608
Phone (415) 600-6200

Other identifiers 1

IdentifierTypeStateIssuer
HSP40047GOtherCAMEDICAL

National Provider Directory

National Provider Directory
Tax ID family
Psychiatrist Clinic of62 organizations share this tax ID, including this one

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

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1235339052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 VAN NESS AVE",
            "address_2": "3RD FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093608",
            "telephone_number": "415-600-6200",
            "fax_number": "415-749-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 VAN NESS AVE",
            "address_2": "3RD FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093608",
            "telephone_number": "415-600-6200",
            "fax_number": "415-749-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PACIFIC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "GIRAURDO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "415-600-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT41112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "HSP40047G",
            "state": "CA"
        }
    ],
    "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 Jan 20, 2022; 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.