NPIMap

Organization Active NPI

1125 Sir Francis Drake Boulevard Operating Company, LLC

Doing business as Kentfield Hospital San Francisco

  • Long Term Care Hospital
  • San Francisco, CA
National Provider Identifier
1386009108
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY, LLC
Doing business as
Kentfield Hospital San Francisco
Practice address
450 Stanyan St
6TH Floor
San Francisco, CA 94117-1019
Phone
(415) 456-9680
Fax
(415) 688-3202
NPI assigned
Dec 21, 2015
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Tammy Jean Thompson
Title
Cfo/VP
Phone
(209) 287-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X CA Primary

Addresses

Primary practice location

450 Stanyan St
6TH Floor
San Francisco, CA 94117-1019

Mailing address

700 17TH St Ste 205
Modesto, CA 95354-1249
Phone (209) 287-6308

Other names 1

  • Kentfield Hospital San Francisco Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kentfield and San Francisco Specialty Hospital Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1386009108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 17TH ST STE 205",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541249",
            "telephone_number": "209-287-6308",
            "fax_number": "209-248-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST",
            "address_2": "6TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171019",
            "telephone_number": "415-456-9680",
            "fax_number": "415-688-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CFO/VP",
        "authorized_official_telephone_number": "209-287-6308"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentfield Hospital San Francisco",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kentfield Hospital San Francisco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 6, 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.