NPIMap

Organization Active NPI

Puwra

  • Mental Illness Community Based Residential Treatment Facility
  • Burlingame, CA
National Provider Identifier
1962781724
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PUWRA
Practice address
1450 Chapin Avenue
Suite 1
Burlingame, CA 94010
Phone
(650) 348-6603
Fax
(650) 348-0615
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Miss Roberta Marie Allen
Title
Public Assistance Coordinator
Phone
(650) 348-6603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1450 Chapin Avenue
Suite 1
Burlingame, CA 94010

Mailing address

1450 Chapin Ave
Burlingame, CA 94010-4062
Phone (650) 348-6603

National Provider Directory

National Provider Directory
Tax ID family
Women'S Recovery Association5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1450 Chapin Ave
Ste 1
Burlingame, CA 94010
Phone (650) 245-9735

Practitioners & affiliated clinicians

Practitioners 1

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": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1962781724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CHAPIN AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104062",
            "telephone_number": "650-348-6603",
            "fax_number": "650-348-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPIN AVENUE",
            "address_2": "SUITE 1",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "94010",
            "telephone_number": "650-348-6603",
            "fax_number": "650-348-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUWRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PUBLIC ASSISTANCE COORDINATOR",
        "authorized_official_telephone_number": "650-348-6603",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.