Active NPI
Yalith Joan Fonfa, MSW
- Counselor
- San Francisco, CA
National Provider Identifier
1679806459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 32725
- Practice address
- 850 Broderick St
San Francisco, CA 94115-4498 - Phone
- (415) 200-5567
- NPI assigned
- Sep 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 32725 | CA | Primary |
Addresses
Primary practice location
850 Broderick St
San Francisco, CA 94115-4498
Mailing address
850 Broderick St
San Francisco, CA 94115-4498
Phone (415) 200-5567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720385032 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32725 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1679806459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 BRODERICK ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941154498",
"telephone_number": "415-200-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 BRODERICK ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941154498",
"telephone_number": "415-200-5567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONFA",
"first_name": "YALITH",
"middle_name": "JOAN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "32725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720385032",
"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 19, 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.