NPIMap

Organization Active NPI

Autism Center of Northern California

  • Developmental Disabilities Clinic/Center
  • San Francisco, CA
National Provider Identifier
1588047492
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
2879023 Issued in CA
Legal business name
AUTISM CENTER OF NORTHERN CALIFORNIA
Practice address
870 Market St Ste 472-476
San Francisco, CA 94102-3001
Phone
(415) 391-3417
Fax
(866) 656-5932
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Dr. Bryna Siegel, P.H.D.
Title
Executive Director
Phone
(415) 391-3417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 2879023 CA Primary

Addresses

Primary practice location

870 Market St Ste 472-476
San Francisco, CA 94102-3001

Mailing address

870 Market Street Suite 472-476
San Francisco, CA 94102
Phone (415) 391-3417

Other names 1

  • JumpStart Learning to Learn Other name

National Provider Directory

National Provider Directory
Tax ID family
Autism Center of Northern California2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

870 Market St
Ste 476
San Francisco, CA 94102

870 Market St
Ste 472476
San Francisco, CA 94102
Phone (415) 391-3417

870 Market St
Ste 401
San Francisco, CA 94102

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1588047492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MARKET STREET SUITE 472-476",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94102",
            "telephone_number": "415-391-3417",
            "fax_number": "866-656-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 472-476",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023001",
            "telephone_number": "415-391-3417",
            "fax_number": "866-656-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM CENTER OF NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "BRYNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-391-3417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.H.D."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "CA",
            "license": "2879023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JumpStart Learning to Learn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 9, 2015; 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.