Active NPI
Autism Center of Northern California
- Developmental Disabilities Clinic/Center
- San Francisco, CA
National Provider Identifier
1275921587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- License
- 2879023
- Legal business name
- AUTISM CENTER OF NORTHERN CALIFORNIA
- Practice address
- 870 Market St
Suite 474
San Francisco, CA 94102-3099 - Phone
- (415) 391-3417
- Fax
- (866) 656-5932
- NPI assigned
- Jan 8, 2015
- 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
- Dr. Bryna Siegel, P.H.D.
- Title
- Director of the Acnc
- Phone
- (415) 391-3417
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | 2879023 | CA | Primary |
Addresses
Primary practice location
870 Market St
Suite 474
San Francisco, CA 94102-3099
Mailing address
870 Market St
Suite 474
San Francisco, CA 94102-3099
Phone (415) 391-3417
Other names 1
- JumpStart Learning to Learn
National Provider Directory
National Provider Directory- Tax ID family
- Autism Center of Northern California
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmental Disabilities Clinic/Center
- San Francisco, CA
- NPI 1588047492
Locations
870 Market St
Ste 474
San Francisco, CA 94102
Phone (415) 391-3417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420675200000",
"number": "1275921587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 MARKET ST",
"address_2": "SUITE 474",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941023099",
"telephone_number": "415-391-3417",
"fax_number": "866-656-5932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 MARKET ST",
"address_2": "SUITE 474",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941023099",
"telephone_number": "415-391-3417",
"fax_number": "866-656-5932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTISM CENTER OF NORTHERN CALIFORNIA",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-08",
"last_updated": "2015-01-08",
"status": "A",
"authorized_official_last_name": "SIEGEL",
"authorized_official_first_name": "BRYNA",
"authorized_official_title_or_position": "DIRECTOR OF THE ACNC",
"authorized_official_telephone_number": "415-391-3417",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "P.H.D."
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "CA",
"license": "2879023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JumpStart Learning to Learn",
"code": "5",
"type": "Other Name"
}
]
}
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 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.