Active NPI
Kalifa Coulibaly
- Case Manager/Care Coordinator
- San Francisco, CA
National Provider Identifier
1326188590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 760 Harrison St
San Francisco, CA 94107-1235 - Phone
- (415) 836-1784
- Fax
- (415) 357-0159
- NPI assigned
- Feb 7, 2007
- Last updated
- Jun 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
760 Harrison St
San Francisco, CA 94107-1235
Mailing address
760 Harrison St
San Francisco, CA 94107-1235
Phone (415) 836-1784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 667 | Other | CA | MEDICAL BILLING NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1326188590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 HARRISON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941071235",
"telephone_number": "415-836-1784",
"fax_number": "415-357-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 HARRISON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941071235",
"telephone_number": "415-836-1784",
"fax_number": "415-357-0159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULIBALY",
"first_name": "KALIFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BILLING NUMBER",
"identifier": "667",
"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 Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.