NPIMap

Organization Active NPI

Iris Center

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1740339290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5571 Issued in CA
Legal business name
IRIS CENTER
Practice address
333 Valencia St
Suite 222
San Francisco, CA 94103-3547
Phone
(415) 864-2364
Fax
(415) 864-0116
NPI assigned
Jan 10, 2007
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
Ms. Pamela Vernell Fairley
Title
Program Director
Phone
(415) 864-2364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 5571 CA Primary

Addresses

Primary practice location

333 Valencia St
Suite 222
San Francisco, CA 94103-3547

Mailing address

333 Valencia St
Suite 222
San Francisco, CA 94103-3547
Phone (415) 864-2364

National Provider Directory

National Provider Directory
Tax ID family
Iris Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740339290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 VALENCIA ST",
            "address_2": "SUITE 222",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033547",
            "telephone_number": "415-864-2364",
            "fax_number": "415-864-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 VALENCIA ST",
            "address_2": "SUITE 222",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033547",
            "telephone_number": "415-864-2364",
            "fax_number": "415-864-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAIRLEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "VERNELL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "415-864-2364",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "5571",
            "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 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.