Individual provider Active NPI

Roban L San Miguel, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1386760270
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS12840 Issued in CA
Practice address
375 Woodside Ave
BLDG W-3
San Francisco, CA 94127-1221
Phone
(415) 753-7784
Fax
(415) 753-7759
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS12840 CA Primary

Addresses

Primary practice location

375 Woodside Ave
BLDG W-3
San Francisco, CA 94127-1221

Mailing address

375 Woodside Ave
BLDG W-3
San Francisco, CA 94127-1221
Phone (415) 753-7784

Other identifiers 2

IdentifierTypeStateIssuer
5732OtherCBHS INTERNAL USE ONLY-COMMERCIAL NUMBER
5732OtherSFGH INTERNAL USE ONLY

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

State licenses

LicenseStateTypeSpecialty
LCS12840CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1386760270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 WOODSIDE AVE",
            "address_2": "BLDG W-3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271221",
            "telephone_number": "415-753-7784",
            "fax_number": "415-753-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WOODSIDE AVE",
            "address_2": "BLDG W-3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271221",
            "telephone_number": "415-753-7784",
            "fax_number": "415-753-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN MIGUEL",
        "first_name": "ROBAN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "5732",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY",
            "identifier": "5732",
            "state": null
        }
    ],
    "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 Jul 16, 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.