Provider Demographics
NPI:1639395643
Name:PLANNED PARENTHOOD GOLDEN GATE
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD GOLDEN GATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:T
Authorized Official - Last Name:DOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN NP
Authorized Official - Phone:415-454-0476
Mailing Address - Street 1:2 H ST
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-1700
Mailing Address - Country:US
Mailing Address - Phone:415-454-0476
Mailing Address - Fax:
Practice Address - Street 1:2 H ST
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-1700
Practice Address - Country:US
Practice Address - Phone:415-454-0476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN390696 NPF6391261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARN390696 NPF6391OtherRN LICENSE # AND NPF #