NPIMap

Organization Active NPI

Healthright 360

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
National Provider Identifier
1730363151
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTHRIGHT 360
Practice address
1563 Mission St FL 5
San Francisco, CA 94103-2543
Phone
(415) 226-1775
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Mr. Athila Lambino
Title
Director of Lic. & Certification
Phone
(415) 912-0605

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X 550000486 CA

Addresses

Primary practice location

1563 Mission St FL 5
San Francisco, CA 94103-2543

Mailing address

1563 Mission Street
2ND Floor Mail Room
San Francisco, CA 94103-2543
Phone (415) 762-3700

Other identifiers 1

IdentifierTypeStateIssuer
CMM71176FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070730000160 CA Part B Supplier - Clinic/Group Practice 3678674025 Receives reassigned benefits from 85 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA; San Mateo, CA; San Jose, CA; Pomona, CA; Pasadena, CA
O20100503000434 CA Part A Provider - Federally Qualified Health Center (FQHC) 3678674025 Practice locations: San Francisco, CA

Federally qualified health center certification: CCN 551035

Legal name
HEALTHRIGHT 360
Doing business as
HAIGHT ASHBURY INTEGRATED CARE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 3, 2010
Last certification
May 3, 2010
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Mar 14, 1966 in CA
Enrollment address
1563 Mission St
San Francisco, CA 94103-2543

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vitka Eisen Individual Corporate OfficerCeo Jan 5, 2011
Operational/Managerial ControlCeo Jan 5, 2011
Jack Cheng Individual W-2 Managing EmployeeCoo Jun 24, 2011
Tony Duong Individual Corporate OfficerCfo Apr 1, 2017
W-2 Managing EmployeeCfo Apr 1, 2017

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1730363151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 MISSION STREET",
            "address_2": "2ND FLOOR MAIL ROOM",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032543",
            "telephone_number": "415-762-3700",
            "fax_number": "415-865-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 MISSION ST FL 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032543",
            "telephone_number": "415-226-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHRIGHT 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "LAMBINO",
        "authorized_official_first_name": "ATHILA",
        "authorized_official_title_or_position": "DIRECTOR OF LIC. & CERTIFICATION",
        "authorized_official_telephone_number": "415-912-0605",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "550000486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM71176F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.