Tom Waddell Health Center

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

TOM WADDELL HEALTH CENTER

Practice address

50 Ivy St
San Francisco, CA 94102-4506

Phone

(415) 355-7500

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Randall Fleming

Title

Counselor

Phone

(415) 355-7521

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1982891925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 IVY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024506",
            "telephone_number": "415-355-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IVY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024506",
            "telephone_number": "415-355-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM WADDELL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "415-355-7521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Tolou-Shams, PH.D.
• Kirsten Tolstrup
• Leonid A Tolstunov, DDS, DMD
• Tom R Norris M D a Professional Corp
• Tom Waddell Health Center
• Brandon Tom, D.P.T.
• Brittany Allison Tom, DPT
• Dustin Tom, DPT
• Gary Robert Tom, PHARM.D.
• Gordon Tom, PHARM. D.

• State or Local Public Health Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• State or Local Public Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.