Individual provider Active NPI

Marcella Johnson-Santana, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1740659242
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95005228 Issued in CA
Practice address
245 11TH St
San Francisco, CA 94103-3732
Phone
(415) 473-6769
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95005228 CA Primary

Addresses

Primary practice location

245 11TH St
San Francisco, CA 94103-3732

Mailing address

840 Kansas St
San Francisco, CA 94107-2607
Phone (415) 743-0615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605000747 CA Practitioner - Nurse Practitioner 1052833548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95005228CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Community Mental Health Center CurrentSince Mar 3, 2025 Accepting new patients
Westside Community Mental Health Center CurrentSince Mar 3, 2025 Accepting new patients
Westside Community Mental Health Center Current Accepting new patients

Locations

1153 Oak St
San Francisco, CA 94117
Phone (415) 355-0311

245 11th St
San Francisco, CA 94103
Phone (415) 355-0311

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1740659242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 KANSAS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072607",
            "telephone_number": "415-743-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 11TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033732",
            "telephone_number": "415-473-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-SANTANA",
        "first_name": "MARCELLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95005228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.