Organization Active NPI

Asian and Pacific Islander Wellness Center, Inc.

  • Community Health Clinic/Center
  • San Francisco, CA
National Provider Identifier
1922528694
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
550001294 Issued in CA
Legal business name
ASIAN AND PACIFIC ISLANDER WELLNESS CENTER, INC.
Practice address
1800 Market St Ste 401
San Francisco, CA 94102-6227
Phone
(415) 292-3400
NPI assigned
Jun 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Lance Toma, LCSW
Title
Chief Executive Officer
Phone
(415) 292-3420

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 550001294 CA Primary
Non-Surgical Family Planning Clinic/Center 261QF0050X 550001294 CA
Federally Qualified Health Center (FQHC) 261QF0400X 550001294 CA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 550001294 CA
Primary Care Clinic/Center 261QP2300X 550001294 CA

Addresses

Primary practice location

1800 Market St Ste 401
San Francisco, CA 94102-6227

Mailing address

730 Polk St FL 4
San Francisco, CA 94109-7813
Phone (415) 292-3420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160427002274 CA Part B Supplier - Clinic/Group Practice 0143522839 Receives reassigned benefits from 21 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Francisco, CA

Federally qualified health center certification: CCN 921005

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ASIAN AND PACIFIC ISLANDER WELLNESS CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 11, 2017
Last certification
Oct 11, 2017
Ownership / control type
For profit – corporation
Facility address
1800 Market Street, Suite 401
San Francisco, CA 94102

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1800 Market St
Ste 401
San Francisco, CA 94102
Phone (415) 292-3400

726 Polk St
San Francisco, CA 94109
Phone (415) 292-3400

726 Polk St
Fl 4
San Francisco, CA 94109
Phone (415) 292-3400

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1922528694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 POLK ST FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941097813",
            "telephone_number": "415-292-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MARKET ST STE 401",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026227",
            "telephone_number": "415-292-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN AND PACIFIC ISLANDER WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "TOMA",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-292-3420",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "550001294",
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "CA",
            "license": "550001294",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550001294",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "550001294",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "550001294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.