INDIVIDUAL APPLICATION (NPI# 1356792204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356792204 |
| Entity Type | Organization |
| Organization Name | INDIVIDUAL APPLICATION |
| Practice Address |
86 Peralta Ave San Francisco CA 94110-4841 |
| Practice Telephone | 5302761952 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Authorized Official Name | MEGAN BRUBAKER (MFT INTERN) |
| Authorized Official Telephone | 5302761952 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
86 PERALTA AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-4841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154772234 | Megan Brubaker | Counselor | 86 Peralta Ave, San Francisco, CA 94110-4841 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356862783 | Kenneth Braslow Md A PC | Clinic/Center | 870 Market St Ste 462, San Francisco, CA 94102-3011 | 2017-07-06 |
| 1013468743 | Kathryn Moghanian | Clinic/Center | 1254 Mission St, 222, San Francisco, CA 94103-2706 | 2016-10-18 |
| 1215383310 | Sunset Team II | Clinic/Center | 1351 24th Ave Ste 207, San Francisco, CA 94122-1616 | 2016-05-06 |
| 1669802989 | City & County of San Francisco | Clinic/Center | 1351 24th Avenue, Suite# 207-208, San Francisco, CA 94122 | 2013-11-22 |
| 1942537204 | California Institute of Integral Studies | Clinic/Center | 1453 Mission St Fl 4, San Francisco, CA 94103-2561 | 2009-11-06 |
| 1508199357 | Inner Illuminations, PC | Clinic/Center | 369 Pine Street Ste 629, San Francisco, CA 94104 | 2009-09-11 |
| 1942420922 | City & County of San Francisco | Clinic/Center | 755 South Van Ness Avenue, San Francisco, CA 94110-1908 | 2007-05-01 |
| 1386864346 | City & County of San Francisco | Clinic/Center | 759 South Van Ness Avenue, San Francisco, CA 94110-1908 | 2007-05-01 |
| 1669691127 | City & County of San Francisco - Department of Public Health | Clinic/Center | 1309 Evans Avenue, San Francisco, CA 94124-1705 | 2007-04-24 |
| 1639272008 | City & County of San Francisco | Clinic/Center | 3905 Mission St, San Francisco, CA 94112-1014 | 2006-09-07 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
Please comment or provide details below to improve the information on INDIVIDUAL APPLICATION.
| 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.