Active NPI
Sitike,Inc
- Community/Behavioral Health Agency
- South San Francisco, CA
National Provider Identifier
1457646960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 410023AN
- Legal business name
- SITIKE,INC
- Practice address
- 306 Spruce Ave
South San Francisco, CA 94080-2741 - Phone
- (650) 589-9305
- Fax
- (650) 589-9330
- NPI assigned
- Jun 13, 2011
- 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. Joseph A. Wagenhofer
- Title
- Executive Director
- Phone
- (650) 589-9305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 410023AN | CA | Primary |
Addresses
Primary practice location
306 Spruce Ave
South San Francisco, CA 94080-2741
Mailing address
306 Spruce Ave
South San Francisco, CA 94080-2741
Phone (650) 589-9305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410023AN | Other | CA | STATE DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS |
Other names 1
- Sitike Counseling Center
National Provider Directory
National Provider Directory- Tax ID family
- Jaime Hernandez
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- South San Francisco, CA
- NPI 1154753861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442188800000",
"number": "1457646960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 SPRUCE AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940802741",
"telephone_number": "650-589-9305",
"fax_number": "650-589-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 SPRUCE AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940802741",
"telephone_number": "650-589-9305",
"fax_number": "650-589-9330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SITIKE,INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-13",
"last_updated": "2015-09-14",
"status": "A",
"authorized_official_last_name": "WAGENHOFER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "650-589-9305",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "410023AN",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS",
"identifier": "410023AN",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sitike Counseling Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.