NPIMap

Organization Active NPI

City & County of San Francisco

Doing business as DSAAM OTOP Methadone Detox

  • Methadone Clinic
  • San Francisco, CA
National Provider Identifier
1497875777
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
38-07 Issued in CA
Legal business name
CITY & COUNTY OF SAN FRANCISCO
Doing business as
DSAAM OTOP Methadone Detox
Practice address
1001 Potrero Avenue
San Francisco General Hospital Sa Progams Ward 93
San Francisco, CA 94110-3518
Phone
(415) 206-6479
Fax
(415) 206-8942
NPI assigned
Mar 30, 2007
Reactivated
Feb 21, 2008
Last updated
Feb 21, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY AND COUNTY OF SAN FRANCISCO SF GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Ms. Sharon McCole Wicher, RN MS
Title
Director Behavioral Health
Phone
(415) 206-6569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 38-07 CA Primary

Addresses

Primary practice location

1001 Potrero Avenue
San Francisco General Hospital Sa Progams Ward 93
San Francisco, CA 94110-3518

Mailing address

1001 Potrero Ave
SFGH Psych Administration 7M17
San Francisco, CA 94110-3518
Phone (415) 206-4550

Other identifiers 1

IdentifierTypeStateIssuer
3814OtherCASHORT-DOYLE MEDICAL

Other names 1

  • DSAAM OTOP Methadone Detox Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City County of San Fran141 organizations share this tax ID, including this one
Part of
City County of San Fran

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1497875777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "SFGH PSYCH ADMINISTRATION 7M17",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-4550",
            "fax_number": "415-206-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVENUE",
            "address_2": "SAN FRANCISCO GENERAL HOSPITAL SA PROGAMS WARD 93",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-6479",
            "fax_number": "415-206-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY & COUNTY OF SAN FRANCISCO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY AND COUNTY OF SAN FRANCISCO SF GENERAL HOSPITAL",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-02-21",
        "deactivation_date": "2007-10-02",
        "reactivation_date": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "WICHER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MCCOLE",
        "authorized_official_title_or_position": "DIRECTOR BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "415-206-6569",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MS"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "38-07",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHORT-DOYLE MEDICAL",
            "identifier": "3814",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DSAAM OTOP Methadone Detox",
            "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 Feb 21, 2008; 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.