Organization Active NPI

William a. Price

Doing business as Mission Bay Convalescent Hospital

  • Skilled Nursing Facility
  • San Francisco, CA
National Provider Identifier
1245212174
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
220000113 Issued in CA
Legal business name
WILLIAM A. PRICE
Doing business as
Mission Bay Convalescent Hospital
Practice address
331 Pennsylvania Ave
San Francisco, CA 94107-2950
Phone
(415) 647-3587
Fax
(415) 647-6885
NPI assigned
Nov 16, 2005
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Ms. May Wong
Title
Administrator
Phone
(415) 647-3587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 220000113 CA Primary

Addresses

Primary practice location

331 Pennsylvania Ave
San Francisco, CA 94107-2950

Mailing address

331 Pennsylvania Ave
San Francisco, CA 94107-2950
Phone (415) 647-3587

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05220HMedicaidCA

Other names 1

  • Mission Bay Convalescent Hospital Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1245212174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 PENNSYLVANIA AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072950",
            "telephone_number": "415-647-3587",
            "fax_number": "415-647-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 PENNSYLVANIA AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072950",
            "telephone_number": "415-647-3587",
            "fax_number": "415-647-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. PRICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-647-3587",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "220000113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05220H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Bay Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 14, 2008; 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.