Arden Wood Inc

Primary specialty

Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X

Legal business name

ARDEN WOOD INC

Practice address

445 Wawona Street
San Francisco, CA 94116-3058

Phone

(415) 681-5500

Fax

(415) 379-2101

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John W Mitchell III

Title

Executive Director

Phone

(415) 681-5500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospital certification: CCN 051993

Legal name

ARDEN WOOD, INC

Certification status

Active

Provider type (POS)

Hospital – Religious non-medical health care institution

Participating since

Jan 22, 2004

Last certification

Sep 12, 2007

Beds

13

Ownership / control type

Church

Facility address

445 Wawona Street
San Francisco, CA 94116

Practitioners 3

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

• Lesleah L De Frisco

  • Religious Nonmedical Nursing Personnel
  • San Francisco, CA
  • NPI 1467701268
  NPD (past)
• Appolonia Lebechi Odenyi

  • Religious Nonmedical Practitioner
  • San Francisco, CA
  • NPI 1932779543
  NPD (past)
• Connie Wahl

  • Religious Nonmedical Nursing Personnel
  • San Francisco, CA
  • NPI 1285595868
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1790884278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WAWONA STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941163058",
            "telephone_number": "415-681-5500",
            "fax_number": "415-379-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WAWONA STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941163058",
            "telephone_number": "415-681-5500",
            "fax_number": "415-379-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDEN WOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-681-5500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Arcila
• Jaime Arcila, MFT
• Kaelyn Alexandria Arcilla, OTD, OTR/L
• Caroline Emily Arcuri
• Ardavan Fateh DDS, Inc.
• Gabriel Arden
• Ingrid Arden, D.D.S.
• Kelly Mackenzie Arditi, PA-C
• Remy Ardizzone, DPM
• Laura Ardzrooni Dreyer

• Religious Nonmedical Health Care Institution in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Religious Nonmedical Health Care Institution in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.