1700155850 NPI number — CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE OF SAN FRANCISCO

Table of content: (NPI 1700155850)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700155850 NPI number — CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE OF SAN FRANCISCO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE 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:
6
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:
1700155850
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1555 37TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94122-3126
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-972-1200
Provider Business Mailing Address Fax Number:
415-972-1201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
787 WALNUT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN CARLOS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94070-3115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-592-9325
Provider Business Practice Location Address Fax Number:
650-592-2316
Provider Enumeration Date:
12/19/2011

Additional Information

Authorized Official

Authorized Official Last Name:
MCCARTHY
Authorized Official First Name:
COLLEEN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF CONTRACTS & GRANTS
Authorized Official Telephone Number:
415-972-1265

Provider Taxonomy Codes

  • Taxonomy code: 251V00000X , with the licence number:  410504131 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QA0600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 11415 . This is a "CITY OF SAN CARLOS BUSINESS REGISTRATION" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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