DPH /SPECIAL PROGRAMS FOR YOUTH (NPI# 1205001245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205001245 |
| Entity Type | Organization |
| Organization Name | DPH /SPECIAL PROGRAMS FOR YOUTH |
| Practice Address |
375 Woodside Ave # 3 San Francisco CA 94127-1221 |
| Practice Telephone | 4157537784 |
| Mailing Telephone | 4157537784 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | DR. PIERRE MARIE ROSE (DIRECTOR) |
| Authorized Official Telephone | 4157537782 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | PT23157 | CA | Managed Care Organizations |
| Street Address |
375 WOODSIDE AVE # 3 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94127-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311834 | Timothy Tang | Dentist | 1450 Monterey Boulevard, San Francisco, CA 94127 | 2018-09-28 |
| 1851897458 | Jason Jihwan Lim | Dentist | 26 W Portal Ave Ste 4, San Francisco, CA 94127 | 2018-04-03 |
| 1871003152 | Jacob Lee | Technician, Other | 12 Keystone Way, San Francisco, CA 94127 | 2017-10-02 |
| 1972032514 | Brian Ong | Pharmacist | 701 Portola Drive, San Francisco, CA 94127 | 2017-06-07 |
| 1316357411 | Roger Stephen Ellis | Emergency Medicine | 301 Edgehill Way, San Francisco, CA 94127 | 2014-04-29 |
| 1801227145 | Terrence Lee | Dentist | 2335 Ocean Ave, San Francisco, CA 94127 | 2013-12-12 |
| 1801222021 | Hayley Rose Winn | Behavioral Analyst | 2265 Ocean Ave., San Francisco, CA 94127 | 2013-09-19 |
| 1487959771 | Leah C Wood | Counselor | 36a Monterey Blvd, San Francisco, CA 94127 | 2011-01-18 |
| 1720288871 | Gloria M. Gold | Social Worker | 146 Granville Way, San Francisco, CA 94127 | 2007-07-18 |
| 1174749451 | Linda L Lee | Dentist | 2411 Ocean Ave, Suite 203, San Francisco, CA 94127 | 2007-04-17 |
| Find all providers in zip 94127 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508401985 | Live Leveled Family Therapy, Inc | Point of Service | 809 Quarry Rd Apt B, San Francisco, CA 94129-1150 | 2019-11-09 |
| 1255708517 | Marcia Weisbrot | Point of Service | 811 14th St Apt 12, San Francisco, CA 94114-1259 | 2015-08-21 |
| 1881021996 | Dept Public Health | Point of Service | 2443 Fillmore St, San Francisco, CA 94115-1814 | 2013-10-03 |
| 1003243320 | Frn Outpatient San Francisco | Point of Service | 1700 Montgomery St Ste 435, San Francisco, CA 94111-1043 | 2013-10-01 |
| 1518293927 | Youth Justice Institute | Point of Service | 375 Woodside Ave Bldg W2, San Francisco, CA 94127-1221 | 2009-10-20 |
| 1386098119 | Shamaya | Point of Service | 1863 Union St, San Francisco, CA 94123-4307 | 2016-04-18 |
| 1255798666 | Dominic Tse Md A Professional Corporation | Point of Service | 728 Pacific Ave Ste 505, San Francisco, CA 94133-4449 | 2016-01-15 |
| 1669865903 | Kyle Corsiglia, Mft | Point of Service | 2171 Union St, San Francisco, CA 94123-4003 | 2015-03-11 |
| 1477953370 | Mazu Medicine | Point of Service | 1604 Union St, San Francisco, CA 94123-4507 | 2014-08-27 |
| 1013262609 | Westside Community Services | Point of Service | 1301 Pierce St, San Francisco, CA 94115-4005 | 2012-07-19 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94127 |
Please comment or provide details below to improve the information on DPH /SPECIAL PROGRAMS FOR YOUTH.
| 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.