Organization Active NPI

UC AIDS Health Project

  • Community/Behavioral Health Agency
  • San Francisco, CA
National Provider Identifier
1710162375
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
ASW 22635 Issued in CA
Legal business name
UC AIDS HEALTH PROJECT
Practice address
1930 Market St
San Francisco, CA 94102-6228
Phone
(415) 476-3902
Fax
(415) 476-3655
NPI assigned
Jan 2, 2008
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Mr. Stephan Ouellette, LCSW
Title
PSS Reach Program Coordinator
Phone
(415) 514-3229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X ASW 22635 CA Primary

Addresses

Primary practice location

1930 Market St
San Francisco, CA 94102-6228

Mailing address

1930 Market St
San Francisco, CA 94102-6228
Phone (415) 476-3902

National Provider Directory

National Provider Directory

Locations

1930 Market St
San Francisco, CA 94102
Phone (415) 476-3902

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1710162375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026228",
            "telephone_number": "415-476-3902",
            "fax_number": "415-476-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026228",
            "telephone_number": "415-476-3902",
            "fax_number": "415-476-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC AIDS HEALTH PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "PSS REACH PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "415-514-3229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "ASW 22635",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 2, 2008; 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.