NPIMap

Organization Active NPI

Institute on Agina

  • Case Management Agency
  • San Francisco, CA
National Provider Identifier
1659701274
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INSTITUTE ON AGINA
Practice address
3575 Geary Blvd
San Francisco, CA 94118-3212
Phone
(415) 751-4141
Fax
(415) 750-5335
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Ms. Roxanna Tsougarakis
Title
Cfo
Phone
(415) 750-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CA Primary

Addresses

Primary practice location

3575 Geary Blvd
San Francisco, CA 94118-3212

Mailing address

3575 Geary Blvd
San Francisco, CA 94118-3212
Phone (415) 751-4141

Other identifiers 9

IdentifierTypeStateIssuer
1629251772MedicaidCA
1932314622MedicaidCA
1114132941MedicaidCA
1730307117MedicaidCA
1497860068MedicaidCA
1497964647MedicaidCA
1942418884MedicaidCA
MSSP06OtherCAMSSP LEGACY
1285906164MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Institute on Aging10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1659701274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183212",
            "telephone_number": "415-751-4141",
            "fax_number": "415-750-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183212",
            "telephone_number": "415-751-4141",
            "fax_number": "415-750-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE ON AGINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "TSOUGARAKIS",
        "authorized_official_first_name": "ROXANNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-750-4101",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629251772",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932314622",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114132941",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730307117",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497860068",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497964647",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942418884",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSSP LEGACY",
            "identifier": "MSSP06",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285906164",
            "state": "CA"
        }
    ],
    "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 Jun 27, 2022; 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.