NPIMap

Organization Active NPI

Planned Parenthood Golden Gate

  • Clinic/Center
  • San Rafael, CA
National Provider Identifier
1710053608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PLANNED PARENTHOOD GOLDEN GATE
Practice address
2 H St
San Rafael, CA 94901-1700
Phone
(650) 574-5823
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dian Harrison
Title
Ceo
Phone
(650) 574-5823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2 H St
San Rafael, CA 94901-1700

Mailing address

2211 Palm Ave
San Mateo, CA 94403-1814
Phone (650) 574-5823

Other identifiers 1

IdentifierTypeStateIssuer
ZZR11497FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Golden Gate21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

2211 Palm Ave
San Mateo, CA 94403
Phone (650) 574-5823

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710053608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 PALM AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031814",
            "telephone_number": "650-574-5823",
            "fax_number": "650-377-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 H ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011700",
            "telephone_number": "650-574-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD GOLDEN GATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-574-5823"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR11497F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.