NPIMap

Organization Active NPI

Mission Area Health Associates

Doing business as Mission Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
National Provider Identifier
1558693622
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
550001297 Issued in CA
Legal business name
MISSION AREA HEALTH ASSOCIATES
Doing business as
Mission Neighborhood Health Center
Practice address
1647 Valencia St
San Francisco, CA 94110-5012
Phone
(415) 647-3666
Fax
(415) 431-3178
NPI assigned
Feb 1, 2010
Organization subpart
Yes
Parent organization
MISSION AREA HEALTH ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Brenda Y Storey, MSW, LCSW
Title
Ceo
Phone
(415) 552-3870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 550001297 CA Primary

Addresses

Primary practice location

1647 Valencia St
San Francisco, CA 94110-5012

Mailing address

240 Shotwell St
San Francisco, CA 94110-1390
Phone (415) 552-3870

Other names 1

  • Mission Neighborhood Health Center Doing business as

National Provider Directory

National Provider Directory
Part of
Mission Neighborhood

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1558693622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SHOTWELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101390",
            "telephone_number": "415-552-3870",
            "fax_number": "415-431-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 VALENCIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105012",
            "telephone_number": "415-647-3666",
            "fax_number": "415-431-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION AREA HEALTH ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION AREA HEALTH ASSOCIATES",
        "enumeration_date": "2010-02-01",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-552-3870",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550001297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Neighborhood 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 Mar 25, 2014; 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.