NPIMap

Organization Active NPI

Mission Area Health Associates

Doing business as Mission Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
National Provider Identifier
1457427411
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
220000488 Issued in CA
Legal business name
MISSION AREA HEALTH ASSOCIATES
Doing business as
Mission Neighborhood Health Center
Practice address
240 Shotwell St
San Francisco, CA 94110-1323
Phone
(415) 552-1013
Fax
(415) 431-3178
NPI assigned
Nov 28, 2006
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Matilda Salako
Title
Cfo
Phone
(415) 552-1013

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X 220000488 CA Primary

Addresses

Primary practice location

240 Shotwell St
San Francisco, CA 94110-1323

Mailing address

240 Shotwell St
San Francisco, CA 94110-1323
Phone (415) 552-1013

Other names 1

  • Mission Neighborhood Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040525000425 CA Part B Supplier - Clinic/Group Practice 1153302419 Receives reassigned benefits from 29 practitioners
2 other NPIs on this enrollment
Practice locations: San Francisco, CA
O20110329000411 CA Part A Provider - Federally Qualified Health Center (FQHC) 1153302419 Practice locations: San Francisco, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457427411. Details of each certification follow.

Federally qualified health center certification: CCN 051815

Legal name
MISSION AREA HEALTH ASSOCIATES
Doing business as
MISSION NEIGHBORHOOD HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Jan 1, 1975 in CA
Enrollment address
240 Shotwell St
San Francisco, CA 94110-1390

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

2355 Folsom St
Rm S106A
San Francisco, CA 94110

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ricardo Wohler Individual Corporate Director Jan 1, 2008
Charles Moser Individual Corporate Director Jan 1, 2008
Amelia Martinez Individual Corporate Director Jun 2, 2016
Brenda Storey Individual Corporate Director Jan 1, 2008
W-2 Managing EmployeeCeo Jan 1, 2008 100%
Rita Franklin Individual Corporate Director Jun 2, 2016
George Bach Y Rita Individual Corporate Director Jan 1, 2008

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mission Neighborhood Health CenterSan Francisco, CA, CCN 751111 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2000
Mission Neighborhood Health CenterSan Francisco, CA, CCN 921957 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2021
Mission Neighborhood Health CenterSan Francisco, CA, CCN 921959 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2021
Mission Neighborhood Health CenterSan Francisco, CA, CCN A01071 Federally qualified health center Operational/Managerial Control (100%) Jan 3, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1457427411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SHOTWELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101323",
            "telephone_number": "415-552-1013",
            "fax_number": "415-431-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SHOTWELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101323",
            "telephone_number": "415-552-1013",
            "fax_number": "415-431-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION AREA HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "SALAKO",
        "authorized_official_first_name": "MATILDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-552-1013"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "220000488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Neighborhood Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Neighborhood Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.