NPIMap

Organization Active NPI

City & County of San Francisco - Department of Public Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Francisco, CA
National Provider Identifier
1669691127
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CITY & COUNTY OF SAN FRANCISCO - DEPARTMENT OF PUBLIC HEALTH
Practice address
1309 Evans Avenue
San Francisco, CA 94124-1705
Phone
(415) 206-7600
NPI assigned
Apr 24, 2007
Organization subpart
Yes
Parent organization
CITY & COUNTY OF SAN FRANCISCO - DEPARTMENT OF PUBLIC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Mrs. Chona G. Bautista-Peralta, LCSW
Title
Department of Public Health - Compl
Phone
(415) 255-3443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1309 Evans Avenue
San Francisco, CA 94124-1705

Mailing address

1309 Evans Avenue
San Francisco, CA 94124-1705
Phone (415) 206-7600

Other names 1

  • Family Mosaic Project Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050309000770 CA Part B Supplier - Clinic/Group Practice 1658280748 Receives reassigned benefits from 1,564 practitioners
42 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA

Other NPIs on the same Medicare enrollment 39

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 39

National Provider Directory

National Provider Directory
Tax ID family
San Francisco HLTH Ctr141 organizations share this tax ID, including this one
Part of
San Francisco HLTH Ctr

Organizations with this tax ID in the same state 24

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

View all 24

Practitioners & affiliated clinicians

Practitioners 9

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1669691127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 EVANS AVENUE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241705",
            "telephone_number": "415-206-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 EVANS AVENUE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241705",
            "telephone_number": "415-206-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY & COUNTY OF SAN FRANCISCO - DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY & COUNTY OF SAN FRANCISCO - DEPARTMENT OF PUBLIC HEALTH",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA-PERALTA",
        "authorized_official_first_name": "CHONA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DEPARTMENT OF PUBLIC HEALTH - COMPL",
        "authorized_official_telephone_number": "415-255-3443",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Mosaic Project",
            "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 Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.