Organization Active NPI

City & County of San Francisco

Doing business as SSMH Integrated Health Home

  • Primary Care Clinic/Center
  • San Francisco, CA
National Provider Identifier
1770044000
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CITY & COUNTY OF SAN FRANCISCO
Doing business as
SSMH Integrated Health Home
Practice address
1990 41St Ave
San Francisco, CA 94116-1101
Phone
(415) 753-7400
Fax
(415) 753-0164
NPI assigned
Mar 28, 2019
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Timothy Arnold
Title
Deputy Director, PFS
Phone
(415) 759-3351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1990 41St Ave
San Francisco, CA 94116-1101

Mailing address

1001 Potrero Ave BLDG 20 Ward 24
San Francisco, CA 94110-3518
Phone (415) 759-4619

Other names 1

  • SSMH Integrated Health Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050309000770 CA Part B Supplier - Clinic/Group Practice 1658280748 Receives reassigned benefits from 1,564 practitioners
42 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA

Other NPIs on the same Medicare enrollment 39

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

View all 39

National Provider Directory

National Provider Directory
Tax ID family
City County of San Fran141 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1770044000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE BLDG 20 WARD 24",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-759-4619",
            "fax_number": "415-759-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 41ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161101",
            "telephone_number": "415-753-7400",
            "fax_number": "415-753-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY & COUNTY OF SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR, PFS",
        "authorized_official_telephone_number": "415-759-3351"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSMH Integrated Health Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSMH Integrated Health Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.