NPIMap

Organization Active NPI

Dignity Health

Doing business as St. Mary's Medical Center

  • Adult Day Care Clinic/Center
  • San Francisco, CA
National Provider Identifier
1932355583
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
070000549 Issued in CA
Legal business name
DIGNITY HEALTH
Doing business as
St. Mary's Medical Center
Practice address
450 Stanyan St
San Francisco, CA 94117-1079
Phone
(415) 668-1000
Fax
(415) 750-5899
NPI assigned
Aug 14, 2008
Last updated
May 6, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Eric Brettner
Title
Chief Financial Officer
Phone
(415) 750-5726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 070000549 CA Primary

Addresses

Primary practice location

450 Stanyan St
San Francisco, CA 94117-1079

Mailing address

3215 Prospect Park Dr
Rancho Cordova, CA 95670-6017
Phone (916) 861-1102

Other identifiers 1

IdentifierTypeStateIssuer
ADU70077FMedicaidCA

Other names 1

  • St. Mary's Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Ctr74 organizations share this tax ID, including this one
Part of
Mercy Medical Ctr

Organizations with this tax ID in the same state 15

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

View all 15

Locations

3215 Prospect Park Dr
Rncho Cordova, CA 95670
Phone (916) 631-3000

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1932355583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 PROSPECT PARK DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706017",
            "telephone_number": "916-861-1102",
            "fax_number": "916-861-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171079",
            "telephone_number": "415-668-1000",
            "fax_number": "415-750-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2008-08-14",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "BRETTNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "415-750-5726"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "070000549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70077F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary's Medical Center",
            "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 May 6, 2013; 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.