Organization Active NPI

Sidney a. Edsall, MD, a Professional Corporation

Doing business as Quantum Integral Healing Arts

  • Adult Mental Health Clinic/Center
  • San Francisco, CA
National Provider Identifier
1861221558
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SIDNEY A. EDSALL, MD, A PROFESSIONAL CORPORATION
Doing business as
Quantum Integral Healing Arts
Practice address
4093 24TH St
San Francisco, CA 94114-3715
Phone
(415) 669-6287
Fax
(415) 376-4483
NPI assigned
Jul 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Dr. Sidney A. Edsall, MD
Title
Ceo
Phone
(415) 669-6287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4093 24TH St
San Francisco, CA 94114-3715

Mailing address

4093 24TH St
San Francisco, CA 94114-3715
Phone (415) 669-6287

Other names 1

  • Quantum Integral Healing Arts Doing business as

National Provider Directory

National Provider Directory

Locations

4093 24th St
San Francisco, CA 94114
Phone (415) 550-2413

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1861221558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4093 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143715",
            "telephone_number": "415-669-6287",
            "fax_number": "415-376-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4093 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941143715",
            "telephone_number": "415-669-6287",
            "fax_number": "415-376-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY A. EDSALL, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "EDSALL",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-669-6287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quantum Integral Healing Arts",
            "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 30, 2024; 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.