NPIMap

Organization Active NPI

Immune Enhancement Project

  • Community/Behavioral Health Agency
  • San Francisco, CA
National Provider Identifier
1730301755
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7355 Issued in CA
Legal business name
IMMUNE ENHANCEMENT PROJECT
Practice address
3450 16TH St
San Francisco, CA 94114
Phone
(415) 252-8711
Fax
(415) 252-8710
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Ms. Nishanga E. Bliss, L.A.NPI 1467517458
Title
Clinical Director
Phone
(415) 252-8711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Community/Behavioral Health Agency 251S00000X 7355 CA Primary

Addresses

Primary practice location

3450 16TH St
San Francisco, CA 94114

Mailing address

3450 16TH St
San Francisco, CA 94114
Phone (415) 252-8711

National Provider Directory

National Provider Directory
Tax ID family
Immune Enhancement Project2 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

3450 16th St
San Francisco, CA 94114
Phone (415) 252-8711

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1730301755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 16TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94114",
            "telephone_number": "415-252-8711",
            "fax_number": "415-252-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 16TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94114",
            "telephone_number": "415-252-8711",
            "fax_number": "415-252-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNE ENHANCEMENT PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "NISHANGA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "415-252-8711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "7355",
            "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 Aug 11, 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.