SCOTT SANFORD (NPI# 1134269863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134269863 |
| Entity Type | Individual |
| Full Name | SCOTT SANFORD |
| Practice Address |
245 11th St San Francisco CA 94103 |
| Mailing Address |
245 11th St San Francisco CA 94103-3732 |
| Practice Telephone | 4153550311 |
| Mailing Telephone | 4153550311 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 167G00000X | Licensed Psychiatric Technician | PT25369 | CA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 524 Manzanita St, Central Point, OR 975022352 | 5412002900 | 5412002948 |
| 245 11th St, San Francisco, CA 94103 | 4153550311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497754725 | Scott Allen Sanford | Family Medicine | 5550 S Us Highway 1, Fort Pierce, FL 34982-8701 | 2005-07-19 |
| 1770588014 | Scott Sanford | Internal Medicine | 1343 Bandera Highway, #205, Kerrville, TX 78028-9742 | 2005-06-14 |
| Street Address |
245 11TH ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508974791 | Melissa Anne Jethanandani | Nurse Practitioner | 245 11th St, San Francisco, CA 94103 | 2006-08-28 |
| 1609473735 | Ethan Huffman | Nurse Practitioner | 245 11th St, San Francisco, CA 94103-3732 | 2020-10-01 |
| 1700492212 | Janice K Yu | Marriage & Family Therapist | 245 11th St, San Francisco, CA 94103-3732 | 2020-09-21 |
| 1629699137 | Joel Estrellado | Licensed Psychiatric Technician | 245 11th St, San Francisco, CA 94103-3732 | 2020-05-06 |
| 1942834692 | Azizi Shautay Gupton | Marriage & Family Therapist | 245 11th St, San Francisco, CA 94103-3732 | 2020-03-02 |
| 1649818295 | Marquita Thomas | Community Health Worker | 245 11th St, San Francisco, CA 94103-3732 | 2019-12-13 |
| 1467094383 | Roshawn Mathews | Licensed Vocational Nurse | 245 11th St, San Francisco, CA 94103-3732 | 2019-10-11 |
| 1215595012 | Chenice A Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1790343507 | Shirley Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1215498670 | Tiffany M Andrade | Community Health Worker | 245 11th St, San Francisco, CA 94103-3732 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
| 1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
| 1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
| 1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
| 1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
| 1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
| 1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
| Find all providers in zip 94103 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780904664 | Tracy Cohen | Licensed Psychiatric Technician | 120 Page St Fl 2, San Francisco, CA 94102-5811 | 2010-06-02 |
| 1588265599 | Sean Paul Mulligan | Licensed Psychiatric Technician | 101 Gough St, San Francisco, CA 94102-5903 | 2020-11-05 |
| 1629699137 | Joel Estrellado | Licensed Psychiatric Technician | 245 11th St, San Francisco, CA 94103-3732 | 2020-05-06 |
| 1588199103 | Yaneta Quane Lacey | Licensed Psychiatric Technician | 52 Dore St, San Francisco, CA 94103-3828 | 2017-04-21 |
| 1477090207 | Kevin Nyokabi | Licensed Psychiatric Technician | 101 Gough St, San Francisco, CA 94102-5903 | 2017-01-31 |
| 1992241749 | Alyssa Dutt | Licensed Psychiatric Technician | 52 Dore St, San Francisco, CA 94103-3828 | 2017-01-17 |
| 1871036293 | Roger Walker | Licensed Psychiatric Technician | 52 Dore St, San Francisco, CA 94103-3828 | 2016-12-02 |
| 1407208721 | Josselyn Canas Alvarez | Licensed Psychiatric Technician | 245 11th St, San Francisco, CA 94103-3732 | 2016-07-11 |
| 1265896781 | Stephanie Fagundes | Licensed Psychiatric Technician | 982 Mission St Fl 2, San Francisco, CA 94103-2911 | 2016-04-11 |
| 1477926814 | Denisa Lino | Licensed Psychiatric Technician | 245 11th St, San Francisco, CA 94103-3732 | 2015-11-06 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
Please comment or provide details below to improve the information on SCOTT SANFORD.
| 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.