1780856294 NPI number — YOUNG MEN'S CHRISTIAN ASSOCIATION OF SAN FRANCISCO

Table of content: MS. NIKITTA RAMONDA ANDOLL RN (NPI 1386926780)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780856294 NPI number — YOUNG MEN'S CHRISTIAN ASSOCIATION OF SAN FRANCISCO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YOUNG MEN'S CHRISTIAN ASSOCIATION OF SAN FRANCISCO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780856294
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 CALIFORNIA STREET
Provider Second Line Business Mailing Address:
SUITE 650
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94111
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-777-9622
Provider Business Mailing Address Fax Number:
415-777-1044

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 CALIFORNIA STREET
Provider Second Line Business Practice Location Address:
SUITE 650
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-777-9622
Provider Business Practice Location Address Fax Number:
415-777-1044
Provider Enumeration Date:
03/25/2008

Additional Information

Authorized Official

Authorized Official Last Name:
GRIFFITH
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
Authorized Official Title or Position:
VP, RISK MANAGEMENT AND LEGAL AFFAI
Authorized Official Telephone Number:
415-281-6725

Provider Taxonomy Codes

  • Taxonomy code: 174H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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