Organization Active NPI

Community College District

  • Student Health Clinic/Center
  • San Francisco, CA
National Provider Identifier
1982739918
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
170344 Issued in CA
Legal business name
COMMUNITY COLLEGE DISTRICT
Practice address
50 Phelan Ave
San Francisco, CA 94112-1821
Phone
(415) 241-2229
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter Goldstein
Title
Vvce Chancellor of Administration
Phone
(415) 241-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 170344 CA Primary

Addresses

Primary practice location

50 Phelan Ave
San Francisco, CA 94112-1821

Mailing address

50 Phelan Ave
San Francisco, CA 94112-1821
Phone (415) 241-2229

National Provider Directory

National Provider Directory
Tax ID family
San Francisco Community College District4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982739918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PHELAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121821",
            "telephone_number": "415-241-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PHELAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121821",
            "telephone_number": "415-241-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "VVCE CHANCELLOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "415-241-2229",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "170344",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.