NPIMap

Organization Active NPI

City & County of San Francisco

Doing business as Tom Waddell Health Center-Primary Care#2

  • Primary Care Clinic/Center
  • San Francisco, CA
National Provider Identifier
1497094858
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CITY & COUNTY OF SAN FRANCISCO
Doing business as
Tom Waddell Health Center-Primary Care#2
Tom Waddell Urban Care Health Center
Practice address
220 Golden Gate Ave
San Francisco, CA 94102-3795
Phone
(415) 355-7416
NPI assigned
Feb 5, 2013
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Timothy Arnold
Title
Deputy Director, PFS
Phone
(415) 759-3351

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X
Federally Qualified Health Center (FQHC) 261QF0400X
Primary Care Clinic/Center 261QP2300X CA Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Respite Care 385H00000X

Addresses

Primary practice location

220 Golden Gate Ave
San Francisco, CA 94102-3795

Mailing address

1001 Potrero Ave
BLDG 20 Ward 24
San Francisco, CA 94110-3518
Phone (415) 206-8338

Other names 2

  • TOM WADDELL HEALTH CENTER-PRIMARY CARE#2 Doing business as
  • Tom Waddell Urban Care Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050309000770 CA Part B Supplier - Clinic/Group Practice 1658280748 Receives reassigned benefits from 1,564 practitioners
42 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA

Other NPIs on the same Medicare enrollment 39

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

View all 39

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Crisis Services141 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

50 Lech Walesa
San Francisco, CA 94102
Phone (415) 355-7400

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1497094858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "BLDG 20 WARD 24",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-8338",
            "fax_number": "415-206-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GOLDEN GATE AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023795",
            "telephone_number": "415-355-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY & COUNTY OF SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR, PFS",
        "authorized_official_telephone_number": "415-759-3351"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOM WADDELL HEALTH CENTER-PRIMARY CARE#2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TOM WADDELL HEALTH CENTER-PRIMARY CARE#2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tom Waddell Urban Care Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.