WING SHUM


Address: 3626 Balboa St, San Francisco, CA 94121-2604
Phone: 4156685955

WING SHUM (NPI# 1376045724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376045724
Entity Type Individual
Full Name WING SHUM
Practice Address 3626 Balboa St
San Francisco
CA 94121-2604
Practice Telephone 4156685955
Mailing Telephone 4156685955
Enumeration Date 2018-03-01
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist CA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GREEN CARD 089-199-843 01

Office Location

Street Address 3626 BALBOA ST
City SAN FRANCISCO
State CA
Zip Code 94121-2604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063591972 Kavoos Ghanebassiri Marriage & Family Therapist 3626 Balboa St, San Francisco, CA 94121-2604 2006-11-02
1336751072 Rory Pettigrew Student in an Organized Health Care Education/Training Program 3626 Balboa St, San Francisco, CA 94121-2604 2020-08-22
1811509631 Lauren Glasgow Student in an Organized Health Care Education/Training Program 3626 Balboa St, San Francisco, CA 94121-2604 2020-08-21
1083246375 Elena Ionov Counselor 3626 Balboa St, San Francisco, CA 94121-2604 2020-02-05
1740827880 Christina Haejin Yum Counselor 3626 Balboa St, San Francisco, CA 94121-2604 2019-12-09
1801443486 Mayra Hernandez Counselor 3626 Balboa St, San Francisco, CA 94121-2604 2019-08-20
1548817182 Harmony Martinez Counselor 3626 Balboa St, San Francisco, CA 94121 2019-08-19
1972159747 Rachael Mary Perlman Student in an Organized Health Care Education/Training Program 3626 Balboa St, San Francisco, CA 94121-2604 2019-08-16
1639725740 Ridhi Shiv Student in an Organized Health Care Education/Training Program 3626 Balboa St, San Francisco, CA 94121-2604 2019-08-14
1356997944 Peter Barrett Reynolds Student in an Organized Health Care Education/Training Program 3626 Balboa St, San Francisco, CA 94121-2604 2019-08-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316443815 Joanne Mott Community Health Worker Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 2018-04-03
1851897359 Jeffrey Cheng Community Health Worker Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 2018-04-03
1245739283 George Howard Herzog Clinical Nurse Specialist 4150 Clement St G1-111b1, San Francisco, CA 94121 2018-02-05
1063931228 Dianna Welsh Marriage & Family Therapist 750 33rd Ave., San Francisco, CA 94121 2017-09-19
1144616590 Lindsey Merrihew Haddock Internal Medicine 4150 Clement St Bldg 1306b, San Francisco, CA 94121 2015-04-13
1184027229 Laura Weissberger Social Worker 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 2014-10-03
1548676901 Martha J Ignaszewski Psychiatry & Neurology 4150 Clement St Rm 19, San Francisco, CA 94121 2014-07-07
1912338195 Katie Francesconi Peters Physical Therapist 1921 Lake St Apt 1, San Francisco, CA 94121 2013-12-12
1649601717 William Hua Psychologist 4150 Clement St (116b), San Francisco, CA 94121 2013-11-27
1396182721 Gregory Lariviere Judson Student in an Organized Health Care Education/Training Program 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 2013-05-24
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750882437 Eric Scott Verby Peer Specialist 3626 Balboa St, San Francisco, CA 94121-2604 2018-02-27
1356852354 Mark James Ostergard Peer Specialist 1990 41st Ave, San Francisco, CA 94116-1101 2017-10-17
1710426754 Lois Kincy Peer Specialist 3801 3rd St Ste 610, San Francisco, CA 94124-1446 2017-02-22
1699228825 Cierra Norman Peer Specialist 1801 Vicente St, San Francisco, CA 94116-2923 2016-07-23
1568678175 Judy L Crawford Peer Specialist 2500 18th St, San Francisco, CA 94110-2109 2007-05-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609477629 Karen J Pompa Peer Specialist 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 2020-11-05
1033710231 Marcus Kujawa Peer Specialist 85 Ramona Expy Ste 13, Perris, CA 92571-7014 2020-11-04
1962001230 Tanya Geanna Macleod Peer Specialist 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 2020-10-19
1043826753 Dayjahnay Shantay Davenport Peer Specialist 3347 Lincoln Ave, San Diego, CA 92104-2111 2020-09-17
1497364848 Marissa Adrianna Garza Peer Specialist 1502 Verona Ct, Salinas, CA 93905-2249 2020-07-30
1235765801 Jill Nina Bierman Peer Specialist 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 2020-03-16
1427683101 Gerardo Castro Peer Specialist 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 2020-03-03
1437783180 Samuel Guadron Rosales Peer Specialist 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 2020-03-02
1356973234 Salina Sheoli Romero Peer Specialist 40 West G Street Ste. B, Los Banos, CA 93635 2020-02-07
1578103313 Charles Winfield Eproson Jr. Peer Specialist 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 2020-01-09
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Competitor

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City SAN FRANCISCO
Zip Code 94121

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Dataset Information

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.

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