Provider Demographics
NPI:1184913956
Name:EQUITY HEALTH
Entity type:Organization
Organization Name:EQUITY HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ASA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SATARIANO
Authorized Official - Suffix:
Authorized Official - Credentials:DHA
Authorized Official - Phone:415-503-6055
Mailing Address - Street 1:229 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-4003
Mailing Address - Country:US
Mailing Address - Phone:415-503-6000
Mailing Address - Fax:415-252-7539
Practice Address - Street 1:229 7TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-4003
Practice Address - Country:US
Practice Address - Phone:415-503-6000
Practice Address - Fax:415-503-6099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA220000094261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFHC11425FMedicaid
CAHAP11425FOtherFAMPACT
CAEAP11425FOtherEAPC
051823Medicare Oscar/Certification