NPIMap

Organization Active NPI

Integrated Care Center

  • Rehabilitation Clinic/Center
  • San Francisco, CA
National Provider Identifier
1942408794
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
380016ACN Issued in CA
Legal business name
INTEGRATED CARE CENTER
Practice address
1735 Mission St
San Francisco, CA 94103-2417
Phone
(415) 746-1940
Fax
(415) 746-1941
NPI assigned
Jul 3, 2007
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
HAIGHT ASHBURY FREE CLINICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Joey Cain
Title
Adminisrtative Assistant
Phone
(415) 746-1967

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 550000486 CA
Rehabilitation Clinic/Center 261QR0400X 380016ACN CA Primary

Addresses

Primary practice location

1735 Mission St
San Francisco, CA 94103-2417

Mailing address

1735 Mission St
San Francisco, CA 94103-2417
Phone (415) 746-1940

Other identifiers 3

IdentifierTypeStateIssuer
380016ACNOtherCADADP CERTIFICATION
550000486OtherCALICENSE
CMM71176FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Healthright 360101 organizations share this tax ID, including this one
Part of
Healthright 360

Organizations with this tax ID in the same state 21

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

View all 21

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1942408794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032417",
            "telephone_number": "415-746-1940",
            "fax_number": "415-746-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032417",
            "telephone_number": "415-746-1940",
            "fax_number": "415-746-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAIGHT ASHBURY FREE CLINICS, INC",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "ADMINISRTATIVE ASSISTANT",
        "authorized_official_telephone_number": "415-746-1967"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "550000486",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "380016ACN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADP CERTIFICATION",
            "identifier": "380016ACN",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "550000486",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM71176F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 16, 2008; 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.