| Rams Outpatient Services | |
|
3626 Balboa St San Francisco CA 94121-2604 | |
| (415) 668-5955 | |
| (415) 668-0246 |
| Full Name | Rams Outpatient Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3626 Balboa St, San Francisco, California |
| Authorized Official Name and Position | Jayvon Muhammad (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4158000699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rams Outpatient Services 4355 Geary Blvd San Francisco CA 94118-3003 Ph: (415) 800-0699 | Rams Outpatient Services 3626 Balboa St San Francisco CA 94121-2604 Ph: (415) 668-5955 |
| NPI Number | 1548312309 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/19/2021 |
| Certification Date | 08/19/2021 |
| Medicare PECOS PAC ID | 4284675588 |
|---|---|
| Medicare Enrollment ID | O20091001000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548312309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 220000096 (California) | Primary |
| Provider Name | Alexander V Zinchenko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265511281 PECOS PAC ID: 7517861644 Enrollment ID: I20031120001002 |
| Provider Name | Sachi Inoue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548349509 PECOS PAC ID: 7214025899 Enrollment ID: I20071115000153 |
| Provider Name | Flora Chan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598997686 PECOS PAC ID: 8022236694 Enrollment ID: I20140822000994 |
| Provider Name | Annie Nguyen Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699108027 PECOS PAC ID: 6800185976 Enrollment ID: I20160713001454 |
| Provider Name | Christine Wai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578972808 PECOS PAC ID: 4486932241 Enrollment ID: I20161028001450 |
| Provider Name | Rafael Perez-espejo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356536841 PECOS PAC ID: 4981838380 Enrollment ID: I20161122000586 |
| Provider Name | Chau Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225484066 PECOS PAC ID: 9436430378 Enrollment ID: I20170106001846 |
| Provider Name | Anna Zozulinsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730435397 PECOS PAC ID: 7517243850 Enrollment ID: I20170420002282 |
| Provider Name | Elijah Sangku-daniel Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225501109 PECOS PAC ID: 6002141140 Enrollment ID: I20190711003612 |
| Provider Name | Maria Celles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912377573 PECOS PAC ID: 7810321437 Enrollment ID: I20200107000774 |
| Provider Name | Andrea Kwun Ning Chan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104375062 PECOS PAC ID: 3678901378 Enrollment ID: I20200311001962 |
| Provider Name | Hoa My Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407413172 PECOS PAC ID: 7214357391 Enrollment ID: I20201009002391 |
| Provider Name | Andrea Mcdade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720609415 PECOS PAC ID: 1153733852 Enrollment ID: I20201222002973 |
| Provider Name | Weilin Li |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447607189 PECOS PAC ID: 5890100473 Enrollment ID: I20210211001988 |
| Provider Name | Katherine Achacoso Ching |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013538768 PECOS PAC ID: 6800203514 Enrollment ID: I20210325000287 |
| Provider Name | Wilfred Kwok Wai Choi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437626884 PECOS PAC ID: 2163824657 Enrollment ID: I20210706003382 |
| Provider Name | Kelli Little |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558773960 PECOS PAC ID: 2567841307 Enrollment ID: I20220624000537 |
| Provider Name | Josephine Sara Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225606254 PECOS PAC ID: 3274905641 Enrollment ID: I20230213000090 |
| Provider Name | Leah Monterrosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891381323 PECOS PAC ID: 1850745951 Enrollment ID: I20230922002691 |
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