Active NPI
Daybreak Medical PC
- Adolescent and Children Mental Health Clinic/Center
- San Francisco, CA
National Provider Identifier
1417526716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- DAYBREAK MEDICAL PC
- Practice address
- 580 California St Floor 12 & 16
San Francisco, CA 94104-1071 - Phone
- (425) 299-1160
- NPI assigned
- Jun 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Takashi Nakamura
- Title
- Owner
- Phone
- (415) 992-6155
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| Counseling Psychologist | 103TC1900X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Family Psychologist | 103TF0000X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| School Social Worker | 1041S0200X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
580 California St Floor 12 & 16
San Francisco, CA 94104-1071
Mailing address
447 Sutter St Ste 405
San Francisco, CA 94108-4618
Phone (415) 992-6155
Other practice location 1
818 N Mountain Ave Ste 203A
Upland, CA 91786-4165
Phone (415) 992-6155
National Provider Directory
National Provider DirectoryLocations
818 N Mountain Ave
Ste 203A
Upland, CA 91786
Phone (318) 607-7839
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- San Francisco, CA
- NPI 1164579702
-
- Clinical Social Worker
- Santa Clarita, CA
- NPI 1487007480
-
- Clinical Social Worker
- San Jose, CA
- NPI 1043470354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699315200000",
"number": "1417526716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 SUTTER ST STE 405",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941084618",
"telephone_number": "415-992-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 CALIFORNIA ST FLOOR 12 & 16",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941041071",
"telephone_number": "425-299-1160"
}
],
"practiceLocations": [
{
"address_1": "818 N Mountain Ave Ste 203A",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917864165",
"country_code": "US",
"telephone_number": "415-992-6155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DAYBREAK MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-21",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A",
"authorized_official_last_name": "NAKAMURA",
"authorized_official_first_name": "TAKASHI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "415-992-6155",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 7, 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.