Active NPI
Department of Veterans Affairs
- Nursing Facility/Intermediate Care Facility
- San Francisco, CA
National Provider Identifier
1245406644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- VN230322
- Legal business name
- DEPARTMENT OF VETERANS AFFAIRS
- Practice address
- 4150 Clement St
San Francisco, CA 94121-1545 - Phone
- (415) 221-4810
- NPI assigned
- May 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Penn, RN
- Title
- Nurse Manager
- Phone
- (415) 221-4810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | VN230322 | CA | Primary |
Addresses
Primary practice location
4150 Clement St
San Francisco, CA 94121-1545
Mailing address
4150 Clement St
San Francisco, CA 94121-1545
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1245406644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 CLEMENT ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941211545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 CLEMENT ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941211545",
"telephone_number": "415-221-4810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "PENN",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "NURSE MANAGER",
"authorized_official_telephone_number": "415-221-4810",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "CA",
"license": "VN230322",
"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 May 6, 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.