NPIMap

Organization Active NPI

University of California, San Francisco

  • Methadone Clinic
  • San Francisco, CA
National Provider Identifier
1407046154
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Practice address
1001 Potrero Ave
Sfghmc, BLDG.90, Ward 93
San Francisco, CA 94110-3518
Phone
(415) 206-8412
Fax
(415) 206-6875
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Grace Fernandez
Title
Director, CPG Business Services
Phone
(415) 206-8969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

1001 Potrero Ave
Sfghmc, BLDG.90, Ward 93
San Francisco, CA 94110-3518

Mailing address

PO Box 7464
Dsaam Methadone Maintenance
San Francisco, CA 94120-7464
Phone (415) 502-7648

Other names 1

  • DSAAM Opiate Treatment Out-Patient Program -Maintenance Doing business as

National Provider Directory

National Provider Directory
Tax ID family
UCSF Diaysis Medical52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1001 Potrero Ave
Bldg 90
San Francisco, CA 94110
Phone (415) 206-8680

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1407046154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7464",
            "address_2": "DSAAM METHADONE MAINTENANCE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207464",
            "telephone_number": "415-502-7648",
            "fax_number": "415-502-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "SFGHMC, BLDG.90, WARD 93",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-8412",
            "fax_number": "415-206-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA, SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "DIRECTOR, CPG BUSINESS SERVICES",
        "authorized_official_telephone_number": "415-206-8969"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DSAAM Opiate Treatment Out-Patient Program -Maintenance",
            "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 2, 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.