CALIFORNIA PACIFIC MEDICAL CENTER (NPI# 1174869473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174869473 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA PACIFIC MEDICAL CENTER |
| Other Organization Name | CHILD DEVELOPMENT CENTER |
| Practice Address |
1625 Van Ness Ave Fl 3 San Francisco CA 94109-3369 |
| Practice Telephone | 4156006200 |
| Practice Fax Number | 4154791433 |
| Mailing Telephone | 4156006200 |
| Mailing Fax Number | 4157491433 |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |
| Authorized Official Name | BELINDA STROUD (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 4156006274 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Child Development Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073836672 | California Pacific Medical Center | General Acute Care Hospital | 2450 Octavia St Apt 3a, San Francisco, CA 94109-2272 | 2010-03-10 |
| 1871731810 | California Pacific Medical Center | General Acute Care Hospital | 3700 California St # B555, San Francisco, CA 94118-1618 | 2009-01-29 |
| 1831352012 | California Pacific Medical Center | Clinic/Center | 3700 California St Rm 4360, San Francisco, CA 94118-1618 | 2008-07-08 |
| 1164680617 | California Pacific Medical Center | General Acute Care Hospital | 550 Battery St Apt 1417, San Francisco, CA 94111-2328 | 2008-05-30 |
| 1235339052 | California Pacific Medical Center | Marriage & Family Therapist | 1625 Van Ness Ave, 3rd Floor, San Francisco, CA 94109-3608 | 2007-07-19 |
| 1851435341 | California Pacific Medical Center | Clinic/Center | 2300 California St Ste 200, San Francisco, CA 94115-2754 | 2007-02-16 |
| 1902421571 | California Pacific Medical Center | Clinic/Center | 1101 Van Ness Ave, San Francisco, CA 94109-6919 | 2020-06-10 |
| 1376992677 | California Pacific Medical Center | General Acute Care Hospital | 2351 Clay St, San Francisco, CA 94115-1931 | 2016-06-07 |
| 1023362134 | California Pacific Medical Center | General Acute Care Hospital | 2340 Clay St, 5th Floor, San Francisco, CA 94115-1932 | 2012-10-29 |
| 1669797981 | California Pacific Medical Center | General Acute Care Hospital | 2333 Buchanan St, San Francisco, CA 94115-1925 | 2010-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CALIFORNIA PACIFIC MEDICAL CENTER | 633 Folsom St Fl 5, San Francisco, CA 94107-3623 |
| Street Address |
1625 VAN NESS AVE FL 3 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94109-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215074828 | Joseph Michael Gumina | Psychologist | 1625 Van Ness Ave Fl 3, San Francisco, CA 94109 | 2007-01-31 |
| 1427298447 | Richard M. King | Marriage & Family Therapist | 1625 Van Ness Ave Fl 3, San Francisco, CA 94109-3608 | 2009-03-03 |
| 1992910046 | Mojgan Jelveh | Psychologist | 1625 Van Ness Ave Fl 3, San Francisco, CA 94109-3608 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169738 | Emmapreet Bal | Social Worker | 750 Post Street, San Francisco, CA 94109 | 2020-09-21 |
| 1801414669 | Hegla Yakeline Fielding | Registered Nurse | Felton Institute, 1500 Franklin St, San Francisco, CA 94109 | 2020-07-08 |
| 1356991350 | Rachel Sit Wong | Technician | 1280 Ellis St. Apt. 12, San Francisco, CA 94109 | 2019-09-12 |
| 1396392502 | Laura Kathryn Strader | Student in an Organized Health Care Education/Training Program | Community Youth Center, 1038 Post Street, San Francisco, CA 94109 | 2019-08-22 |
| 1821650227 | Anita Kathleen O'shea | Community Health Worker | 730 Polk St 4th Floor, San Francisco, CA 94109 | 2019-07-05 |
| 1275015638 | Quenna G Lee | Occupational Therapist | 1948 California Street, San Francisco, CA 94109 | 2018-09-02 |
| 1659857340 | Kaihan Zhong | Marriage & Family Therapist | 1038 Post Street Community Youth Center, San Francisco, CA 94109 | 2018-07-16 |
| 1144716044 | Elaina Barulic | Marriage & Family Therapist | 2040 Gough St, San Francisco, CA 94109 | 2018-07-03 |
| 1447778048 | Yltze Pamela Cubas-moody | Dentist | 2107 Vanness Ave, San Francisco, CA 94109 | 2017-09-03 |
| 1063939387 | Ritu Sen | Counselor | 815 Hyde Street, Suite 100, San Francisco, CA 94109 | 2017-08-28 |
| Find all providers in zip 94109 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069007 | Recovery Record | Community/Behavioral Health | 304 Moultrie St, San Francisco, CA 94110-5619 | 2020-06-29 |
| 1073074324 | Child Therapy Institute of Marin | Community/Behavioral Health | 3195 California St Ste D, San Francisco, CA 94115-2412 | 2019-03-28 |
| 1215400171 | Healthy Delivery, Inc | Community/Behavioral Health | 290 Division St Ste 304, San Francisco, CA 94103-4850 | 2019-01-03 |
| 1568996494 | Blue Humming Therapy | Community/Behavioral Health | 447 Sutter St Ste 400, San Francisco, CA 94108-4632 | 2017-04-18 |
| 1255882130 | Seneca Family of Agencies | Community/Behavioral Health | 2929 19th St, San Francisco, CA 94110-2019 | 2016-10-17 |
| 1003360538 | Contra Costa County Behavioral Health Department | Community/Behavioral Health | 45 Allston Way, San Francisco, CA 94127-1101 | 2016-08-12 |
| 1245603091 | Seneca Family of Agencies | Community/Behavioral Health | 1101 Eucalyptus Dr, San Francisco, CA 94132-1401 | 2015-11-02 |
| 1841666229 | Seneca Family of Agencies | Community/Behavioral Health | 1035 Gilman Ave, San Francisco, CA 94124-3710 | 2015-08-19 |
| 1700265949 | Lafrance Associates, LLC | Community/Behavioral Health | 170 Capp St, Suite C, San Francisco, CA 94110-1210 | 2015-05-20 |
| 1477951275 | Grossbard&bourzat Corp | Community/Behavioral Health | 618 Athens St, San Francisco, CA 94112-3531 | 2014-12-09 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94109 |
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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.