Organization Active NPI

Sitike,Inc

  • Community/Behavioral Health Agency
  • South San Francisco, CA
National Provider Identifier
1457646960
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
410023AN Issued in CA
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

Updated by the provider on Sep 14, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
410023ANOtherCASTATE DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS

Other names 1

  • Sitike Counseling Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Jaime Hernandez2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.