Individual provider Active NPI

Renee Kayhan Penton

  • Specialist
  • San Francisco, CA
National Provider Identifier
1326353608
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
251 Post St Ste 200
San Francisco, CA 94108-5021
Phone
(415) 852-5300
NPI assigned
Aug 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 09-09-68U OR
Case Manager/Care Coordinator 171M00000X
Specialist 174400000X Primary

Addresses

Primary practice location

251 Post St Ste 200
San Francisco, CA 94108-5021

Mailing address

251 Post St Ste 200
San Francisco, CA 94108-5021
Phone (415) 852-5300

Other practice location 1

726 W Burnside St
Portland, OR 97209-3515
Phone (503) 944-4410

Other names 1

  • Renee Kayhan Ulrich Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Housing Partnership Current Accepting new patients
Community Housing Partnership Current Accepting new patients
Central City Concern, Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1326353608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 POST ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941085021",
            "telephone_number": "415-852-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 POST ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941085021",
            "telephone_number": "415-852-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 W Burnside St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972093515",
            "country_code": "US",
            "telephone_number": "503-944-4410",
            "fax_number": "503-295-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENTON",
        "first_name": "RENEE",
        "middle_name": "KAYHAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "09-09-68U",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "ULRICH",
            "middle_name": "KAYHAN",
            "credential": "MAC, CADC III",
            "code": "1",
            "type": "Former 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 Nov 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.

Verify at the official NPI Registry.