NPIMap

Organization Active NPI

Felton Institute

  • Community/Behavioral Health Agency
  • San Francisco, CA
National Provider Identifier
1396896122
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FELTON INSTITUTE
Practice address
1663 Mission St Ste 604
San Francisco, CA 94103-2473
Phone
(415) 474-7310
Fax
(415) 673-2488
NPI assigned
Jan 16, 2007
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Marvin Davis
Title
Chief Financial & Operations Office
Phone
(415) 474-7310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1663 Mission St Ste 604
San Francisco, CA 94103-2473

Mailing address

1500 Franklin St
San Francisco, CA 94109-4523
Phone (415) 518-9964

Other identifiers 1

IdentifierTypeStateIssuer
38LH01OtherCAFULL CIRCLE FAMILY PROGRAM AT BRYANT

Other names 1

  • Family Service Agency of San Francisco Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091116000112 CA Part B Supplier - Clinic/Group Practice 7719025550 Receives reassigned benefits from 36 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA; Santa Rosa, CA; San Rafael, CA; San Mateo, CA; Salinas, CA; Oakland, CA; Fremont, CA; Fairfield, CA…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Felton Institute27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1396896122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FRANKLIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094523",
            "telephone_number": "415-518-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 MISSION ST STE 604",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032473",
            "telephone_number": "415-474-7310",
            "fax_number": "415-673-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELTON INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL & OPERATIONS OFFICE",
        "authorized_official_telephone_number": "415-474-7310"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FULL CIRCLE FAMILY PROGRAM AT BRYANT",
            "identifier": "38LH01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Service Agency of San Francisco",
            "code": "4",
            "type": "Former Legal Business 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 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.