Active NPI
Melina Machuca
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1487072377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW124107
- Practice address
- 995 Potrero Ave BLDG 80
San Francisco, CA 94110-2859 - Phone
- (415) 206-8386
- NPI assigned
- Mar 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Community Health Worker | 172V00000X | |||
| Clinical Social Worker | 1041C0700X | ASW124107 | CA | Primary |
Addresses
Primary practice location
995 Potrero Ave BLDG 80
San Francisco, CA 94110-2859
Mailing address
995 Potrero Ave BLDG 80
San Francisco, CA 94110-2859
Phone (415) 206-8386
Other practice location 1
368 Fell St
San Francisco, CA 94102-5144
Phone (415) 861-0828 ext. 132
Other practice location 2
810 Capp St
San Francisco, CA 94110-3225
Phone (415) 285-0180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW124107 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Foundation | Past | Accepting new patients | |
| Progress Foundation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- San Francisco, CA
- NPI 1902960974
-
- Mental Illness Community Based Residential Treatment Facility
- San Francisco, CA
- NPI 1972667848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1487072377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 POTRERO AVE BLDG 80",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102859",
"telephone_number": "415-206-8386",
"fax_number": "415-206-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 POTRERO AVE BLDG 80",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102859",
"telephone_number": "415-206-8386"
}
],
"practiceLocations": [
{
"address_1": "368 Fell St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941025144",
"country_code": "US",
"telephone_number": "415-861-0828 x132",
"fax_number": "415-861-0140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "810 Capp St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941103225",
"country_code": "US",
"telephone_number": "415-285-0180",
"fax_number": "415-285-2110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACHUCA",
"first_name": "MELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-29",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW124107",
"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 Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.