NPIMap

Organization Active NPI

CCRM San Francisco, LLC

  • Ambulatory Fertility Facility
  • Menlo Park, CA
National Provider Identifier
1669904520
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
Legal business name
CCRM SAN FRANCISCO, LLC
Practice address
1060 Marsh Rd
1St Floor
Menlo Park, CA 94025-1020
Phone
(650) 646-7500
NPI assigned
Mar 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Matt Tyson
Title
Director, Managed Care Contracting
Phone
(615) 477-6677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X Primary
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

1060 Marsh Rd
1St Floor
Menlo Park, CA 94025-1020

Mailing address

1060 Marsh Rd FL 1
Menlo Park, CA 94025-1964
Phone (303) 968-1950

National Provider Directory

National Provider Directory
Tax ID family
CCRM San Francisco2 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

1060 Marsh Rd
Fl First
Menlo Park, CA 94025
Phone (650) 646-7500

Practitioners & affiliated clinicians

Practitioners 3

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": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1669904520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 MARSH RD FL 1",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251964",
            "telephone_number": "303-968-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 MARSH RD",
            "address_2": "1ST FLOOR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251020",
            "telephone_number": "650-646-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRM SAN FRANCISCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE CONTRACTING",
        "authorized_official_telephone_number": "615-477-6677"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.