Tom Waddell Health Center

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

20715 Issued in CA

Legal business name

TOM WADDELL HEALTH CENTER

Practice address

50 Lech Walesa
2ND Floor
San Francisco, CA 94102-4506

Phone

(415) 355-7512

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Robyn Lee Stukalin, MS, LCSW

Title

Medical Social Worker

Phone

(415) 355-7512

Specialties & licenses 1

Addresses

Other names 1

• San Francisco Department of Public Health Other name

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497883276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LECH WALESA ST",
            "address_2": "2ND FLOOR",
            "city": "SAN FRANCSICO",
            "state": "CA",
            "postal_code": "94102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LECH WALESA",
            "address_2": "2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024506",
            "telephone_number": "415-355-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM WADDELL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUKALIN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEDICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "415-355-7512",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "CA",
            "license": "20715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Francisco Department of Public Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leandra D. Tolosa, DMD
• Marina Tolou-Shams, PH.D.
• Kirsten Tolstrup
• Leonid A Tolstunov, DDS, DMD
• Tom R Norris M D a Professional Corp
• Tom Waddell Health Center
• Brandon Tom, D.P.T.
• Brittany Allison Tom, DPT
• Dustin Tom, DPT
• Gary Robert Tom, PHARM.D.

• State or Local Public Health Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• State or Local Public Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.