Organization Active NPI

Catholic Charities Cyo of the Archdiocese of San Francisco

  • Adult Day Care Clinic/Center
  • San Carlos, CA
National Provider Identifier
1700155850
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE OF SAN FRANCISCO
Practice address
787 Walnut St
San Carlos, CA 94070-3115
Phone
(650) 592-9325
Fax
(650) 592-2316
NPI assigned
Dec 19, 2011
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Mrs. Colleen McCarthy
Title
Director of Contracts & Grants
Phone
(415) 972-1265

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 410504131 CA
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

787 Walnut St
San Carlos, CA 94070-3115

Mailing address

1555 37TH Ave
San Francisco, CA 94122-3126
Phone (415) 972-1200

Other identifiers 1

IdentifierTypeStateIssuer
11415OtherCACITY OF SAN CARLOS BUSINESS REGISTRATION

Other names 2

  • Catholic Charities San Mateo Adult Day care Other name
  • San Carlos Adult Day Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities Cyo of the Archdiocese of San Francisco11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

787 Walnut St
San Carlos, CA 94070
Phone (650) 592-9325

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1700155850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 37TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223126",
            "telephone_number": "415-972-1200",
            "fax_number": "415-972-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 WALNUT ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703115",
            "telephone_number": "650-592-9325",
            "fax_number": "650-592-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE OF SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTS & GRANTS",
        "authorized_official_telephone_number": "415-972-1265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "410504131",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF SAN CARLOS BUSINESS REGISTRATION",
            "identifier": "11415",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Charities San Mateo Adult Day care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "San Carlos Adult Day Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.