NPIMap

Organization Active NPI

Native American Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
National Provider Identifier
1811185259
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
220000207 Issued in CA
Legal business name
NATIVE AMERICAN HEALTH CENTER, INC
Practice address
160 Capp St
San Francisco, CA 94110
Phone
(415) 621-1170
Fax
(415) 255-7527
NPI assigned
Oct 10, 2007
Organization subpart
Yes
Parent organization
NATIVE AMERICAN HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Jerusha Norman
Title
Revenue Cycle Supervisor
Phone
(510) 485-5941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 220000207 CA Primary

Addresses

Primary practice location

160 Capp St
San Francisco, CA 94110

Mailing address

3124 International Blvd
Room 314
Oakland, CA 94601-2228
Phone (510) 434-5379

Other identifiers 4

IdentifierTypeStateIssuer
EAP11429FOtherCAEAPC
HAP11429FOtherCASOFP
FHC11429FMedicaidCA
1811185259MedicaidCA

Other names 1

  • Urban Indian Health Board Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Native American Health8 organizations share this tax ID, including this one
Part of
Native American Health

Other organizations with this tax ID 7

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

Locations

3124 International Blvd
Rm 314
Oakland, CA 94601

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1811185259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 INTERNATIONAL BLVD",
            "address_2": "ROOM 314",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012228",
            "telephone_number": "510-434-5379",
            "fax_number": "510-261-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CAPP ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-621-1170",
            "fax_number": "415-255-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE AMERICAN HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIVE AMERICAN HEALTH CENTER INC",
        "enumeration_date": "2007-10-10",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "JERUSHA",
        "authorized_official_title_or_position": "REVENUE CYCLE SUPERVISOR",
        "authorized_official_telephone_number": "510-485-5941"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "220000207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EAPC",
            "identifier": "EAP11429F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOFP",
            "identifier": "HAP11429F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC11429F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811185259",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urban Indian Health Board",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Urban Indian Health Board",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 15, 2018; 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.