MR. JOHN BANCALARI (NPI# 1013304708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013304708 |
| Entity Type | Individual |
| Full Name | MR. JOHN BANCALARI |
| Credential | RASI |
| Practice Address |
1638 Kirkwood Ave San Francisco CA 94124-2137 |
| Practice Telephone | 4158225977 |
| Practice Fax Number | 4156711042 |
| Mailing Telephone | 4158225977 |
| Mailing Fax Number | 4156711042 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RI-B111015030 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1638 KIRKWOOD AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94124-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619018314 | Jelani, Inc | Substance Abuse Rehabilitation Facility | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2007-02-08 |
| 1063035285 | Thomas Jones | Specialist | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2020-05-21 |
| 1477175099 | Ariyana Gray | Specialist | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2020-05-18 |
| 1619598745 | Andrea Evans | Specialist | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2020-04-29 |
| 1851957393 | Bayview Hunters Point Foundation for Community Improvement, Inc. | Case Management | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2019-05-09 |
| 1184188518 | Melanie Kolby | Community Health Worker | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2019-01-30 |
| 1619431962 | Veronica Joseph | Counselor | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2019-01-30 |
| 1588135537 | Latrice Nicole Daniels | Community Health Worker | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2018-12-16 |
| 1245729292 | Camry Adams | Community Health Worker | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2018-05-04 |
| 1770858201 | Jay Donald Alton | Student in an Organized Health Care Education/Training Program | 1638 Kirkwood Ave, San Francisco, CA 94124-2137 | 2012-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922597525 | Valeria Elizabeth Diaz | Technician, Other | 1227 Revere Ave, San Francisco, CA 94124 | 2018-05-09 |
| 1164929915 | Derrick Tuckerson | Registered Nurse | 3801 3rd Street #5j93, Suite 200, San Fransisco, CA 94124 | 2018-04-09 |
| 1518469766 | Skycoast Mobility, LLC | Non-emergency Medical Transport (VAN) | 1485 Bayshore Blvd., Suite #320a, San Francisco, CA 94124 | 2018-03-04 |
| 1811419484 | Kayla Leininger | Counselor | 3801 3rd St., 400, San Francisco, CA 94124 | 2017-07-14 |
| 1508240953 | Suzanne Wen | Dentist | 1938 Donner Ave, San Francisco, CA 94124 | 2015-07-15 |
| 1518362201 | Southeast Health Clinic, Department of Public Health | Clinic/Center | 2401 Keith Ave, San Francisco, CA 94124 | 2014-10-24 |
| 1629489299 | Bayview Hunter Point Foundation | Community/Behavioral Health | 1075 Leconte Street, San Francisco, CA 94124 | 2014-05-16 |
| 1558797936 | Mickey Diner Stein | Student in an Organized Health Care Education/Training Program | 3801 Third Street, Suite 400, San Francisco, CA 94124 | 2013-09-18 |
| 1164797916 | Ronnie Muniz | Counselor | 5015 Third Street, San Francisco, CA 94124 | 2012-03-13 |
| 1265717144 | Marq'uis Amari-hakeem Reid | Counselor | 1625 Carroll Avenue, San Francisco, CA 94124 | 2011-10-11 |
| Find all providers in zip 94124 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1619581956 | Jamie Marion Brown | Counselor | 1233 Noriega St Apt 4, San Francisco, CA 94122-4455 | 2020-09-03 |
| 1154931970 | Dagmawit Aberham Negash I | Counselor | 1735 Mission St. San Francisco, Ca, San Francisco, CA 94103-2417 | 2020-08-06 |
| 1710503420 | Seville Christian | Counselor | 75 Dore St Apt 107, San Francisco, CA 94103-3892 | 2020-06-18 |
| 1326673773 | Jeffrey Douglas Washington | Counselor | 1040 Sutter St Apt 56, San Francisco, CA 94109-5833 | 2020-03-05 |
| 1801429253 | Domenique Marie Stern | Counselor | 1049 Market St Apt 603, San Francisco, CA 94103-1635 | 2020-02-13 |
| 1487123436 | Judith St Louis-schmidt | Counselor | 735 Taylor St # 208, San Francisco, CA 94108-3807 | 2018-11-20 |
| 1114405495 | Angela Christina Thomas | Counselor | 1633 Newcomb Ave, San Francisco, CA 94124-2318 | 2018-07-30 |
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1265923353 | Benjamin Adam Schaeffer | Counselor | 440 Potrero Ave Fl 2, San Francisco, CA 94110-1430 | 2018-05-23 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94124 |
Please comment or provide details below to improve the information on MR. JOHN BANCALARI.
| 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.