Provider Demographics
NPI:1922419266
Name:SAN FRANCISCO HEALTH AUTHORITY
Entity Type:Organization
Organization Name:SAN FRANCISCO HEALTH AUTHORITY
Other - Org Name:SAN FRANCISCO HEALTH PLAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-547-7800
Mailing Address - Street 1:PO BOX 194247
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94119-4247
Mailing Address - Country:US
Mailing Address - Phone:415-547-7800
Mailing Address - Fax:415-615-6450
Practice Address - Street 1:50 BEALE ST
Practice Address - Street 2:12TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-1813
Practice Address - Country:US
Practice Address - Phone:415-547-7800
Practice Address - Fax:415-615-6450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-08
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9330423302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization