Organization Active NPI

Iadet

  • Community/Behavioral Health Agency
  • San Francisco, CA
National Provider Identifier
1255523635
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3800404100 Issued in CA
Legal business name
IADET
Practice address
3265 17TH St Ste 205
San Francisco, CA 94110-1258
Phone
(415) 255-0371
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Mrs. Cecilia Velasco
Title
Office Manager
Phone
(415) 255-0371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3800404100 CA Primary

Addresses

Primary practice location

3265 17TH St Ste 205
San Francisco, CA 94110-1258

Mailing address

2111 Mission St Ste 205
San Francisco, CA 94110-1274

National Provider Directory

National Provider Directory

Locations

3265 17th St
Ste 205
San Francisco, CA 94110
Phone (415) 255-0371

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1255523635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 MISSION ST STE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 17TH ST STE 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101258",
            "telephone_number": "415-255-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IADET",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-255-0371",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "3800404100",
            "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 Aug 9, 2007; 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.