TIDES CENTER (NPI# 1083940969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083940969 |
| Entity Type | Organization |
| Organization Name | TIDES CENTER |
| Practice Address |
1014 Torney Ave San Francisco CA 94129-1755 |
| Practice Telephone | 4155616300 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |
| Authorized Official Name | MR. ALVIN LEE (GOVERNMENT GRANTS MANAGER) |
| Authorized Official Telephone | 4155616309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003249657 | Tides Center | Exclusive Provider Organization | 1008 General Kennedy Ave, Suite R, San Francisco, CA 94129-1729 | 2013-08-19 |
| 1457496655 | Tides Center | Specialist | 655 Redwood Hwy, 200, Mill Valley, CA 94941-3034 | 2007-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | TIDES CENTER THE | 1014 Torney Avenue, San Francisco, CA 94129 |
| System for Award Management (SAM) Entities | TIDES CENTER, THE | The Presidio 1014 Torney Ave, San Francisco, CA 94129-1755 |
| Street Address |
1014 TORNEY AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94129-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801362652 | Jamin N Gorham | Physical Therapist | 1162 B Gorgas Avenue, San Francisco, CA 94129 | 2018-10-19 |
| 1942743307 | Kristin Elizabeth Goodrich | Physical Therapist | 1162 B Gorgas Ave, San Francisco, CA 94129 | 2016-12-02 |
| 1356822449 | Matthew Timothy Kuik | Physical Therapist | 1162 B Gorgas Ave, San Francisco, CA 94129 | 2018-08-27 |
| 1356749279 | Masonic Center for Youth and Families | Clinic/Center | 6 Funston Ave, San Francisco, CA 94129 | 2014-12-09 |
| 1285286211 | Derek Wei-yun Wong | Behavior Technician | 1520 Pershing Dr Apt F, San Francisco, CA 94129-1096 | 2019-07-10 |
| 1942578521 | Antonia Servat | Marriage & Family Therapist | 6 Funston Ave, San Francisco, CA 94129-1109 | 2011-12-09 |
| 1841403052 | William Meehan | Psychologist | 10 Funston Avenue, The Presidio, San Francisco, CA 94129-1109 | 2007-05-07 |
| 1710017801 | Judith R Levin | Counselor | 10 Funston Ave, The Presidi, San Francisco, CA 94129-1109 | 2007-03-07 |
| 1043788953 | Masonic Homes of California | Psychiatry & Neurology | 6 Funston Ave, San Francisco, CA 94129-1109 | 2018-11-08 |
| 1174021182 | Gouverneur M Carnochan | Psychologist | 10 Funston Ave, San Francisco, CA 94129-1109 | 2018-01-24 |
| Find all providers in zip 94129 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1003249657 | Tides Center | Exclusive Provider Organization | 1008 General Kennedy Ave, Suite R, San Francisco, CA 94129-1729 | 2013-08-19 |
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| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.