Organization Active NPI

Uscg Clinic San Francisco

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • San Francisco, CA
National Provider Identifier
1538727276
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
USCG CLINIC SAN FRANCISCO
Practice address
1020 N Access Rd
San Francisco, CA 94128-3120
Phone
(650) 808-2902
NPI assigned
May 29, 2019
Last updated
May 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Debra Fitzgerald
Title
Health System Analyst
Phone
(757) 628-4363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

1020 N Access Rd
San Francisco, CA 94128-3120

Mailing address

1020 N Access Rd
San Francisco, CA 94128-3120

National Provider Directory

National Provider Directory
Tax ID family
US Coast Guard65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

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

Locations

1020 N Access Rd
San Francisco, CA 94128
Phone (650) 240-6739

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1538727276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N ACCESS RD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941283120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N ACCESS RD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941283120",
            "telephone_number": "650-808-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USCG CLINIC SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "HEALTH SYSTEM ANALYST",
        "authorized_official_telephone_number": "757-628-4363"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "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 May 29, 2019; 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.