| Haight Ashbury Free Clinic | |
|
558 Clayton St San Francisco CA 94117-2907 | |
| (415) 226-1775 | |
| Not Available |
| Full Name | Haight Ashbury Free Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 558 Clayton St, San Francisco, California |
| Authorized Official Name and Position | Vitka Eisen (PRESIDENT & CEO) |
| Authorized Official Contact | 4157623700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haight Ashbury Free Clinic 1563 Mission Street, 4th Floor San Francisco CA 94103-2543 Ph: (415) 762-3700 | Haight Ashbury Free Clinic 558 Clayton St San Francisco CA 94117-2907 Ph: (415) 226-1775 |
| NPI Number | 1760427843 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 03/01/2019 |
| Medicare PECOS PAC ID | 3678674025 |
|---|---|
| Medicare Enrollment ID | O20070730000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760427843 | NPI | - | NPPES |
| 11599F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 220000030 (California) | Secondary |
| Provider Name | Tri D Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053402651 PECOS PAC ID: 2860444320 Enrollment ID: I20050214000418 |
| Provider Name | William Zakee Howard Mcgill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285682682 PECOS PAC ID: 0749227940 Enrollment ID: I20050408001154 |
| Provider Name | Ryan N Gorton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124136650 PECOS PAC ID: 6608814041 Enrollment ID: I20050418000687 |
| Provider Name | Keith E Loring |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407898802 PECOS PAC ID: 1254410582 Enrollment ID: I20080512000263 |
| Provider Name | Dawn Harbatkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033119284 PECOS PAC ID: 2567417827 Enrollment ID: I20081107000581 |
| Provider Name | Ako A Jacintho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275599052 PECOS PAC ID: 8820146293 Enrollment ID: I20090423000653 |
| Provider Name | James Healy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891855524 PECOS PAC ID: 3577613561 Enrollment ID: I20090612000408 |
| Provider Name | Rebecca M Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306977004 PECOS PAC ID: 1951584580 Enrollment ID: I20110321000113 |
| Provider Name | Kaney Fedovskiy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114091469 PECOS PAC ID: 6406956333 Enrollment ID: I20110510000746 |
| Provider Name | Carol J Carbone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750513495 PECOS PAC ID: 9739367749 Enrollment ID: I20110622000200 |
| Provider Name | Tipu Vahid Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801059555 PECOS PAC ID: 2567636178 Enrollment ID: I20111116000857 |
| Provider Name | Sanjay Basu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700111226 PECOS PAC ID: 4284898164 Enrollment ID: I20120605000289 |
| Provider Name | Kiran R Vaswani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467537126 PECOS PAC ID: 6507019544 Enrollment ID: I20121227000066 |
| Provider Name | Psyche L Philips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164853073 PECOS PAC ID: 0345472304 Enrollment ID: I20140407001510 |
| Provider Name | Stacie A Solt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518194562 PECOS PAC ID: 3476779448 Enrollment ID: I20140728001873 |
| Provider Name | Noreen Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376819789 PECOS PAC ID: 7315179207 Enrollment ID: I20151102000925 |
| Provider Name | Kathryn M Gunnison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750649471 PECOS PAC ID: 7618105958 Enrollment ID: I20151231001408 |
| Provider Name | Brittany Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528510831 PECOS PAC ID: 0042591620 Enrollment ID: I20161220001726 |
| Provider Name | Kathleen Gilligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962834150 PECOS PAC ID: 2365725728 Enrollment ID: I20170208002032 |
| Provider Name | Alice R Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861686107 PECOS PAC ID: 7517234446 Enrollment ID: I20170525000828 |
| Provider Name | Ann Valdes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942355540 PECOS PAC ID: 7012287071 Enrollment ID: I20170724003250 |
| Provider Name | Nicole Una |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114284072 PECOS PAC ID: 2466724224 Enrollment ID: I20170815001236 |
| Provider Name | Kenneth Craighead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043539117 PECOS PAC ID: 4789957499 Enrollment ID: I20170831001269 |
| Provider Name | Jessica A Koenig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083050967 PECOS PAC ID: 4486952017 Enrollment ID: I20171115002887 |
| Provider Name | Alexandra Korsunskaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811100712 PECOS PAC ID: 4789941139 Enrollment ID: I20171120003646 |
| Provider Name | Felice Delacerna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053544239 PECOS PAC ID: 3779842380 Enrollment ID: I20180104001705 |
| Provider Name | Samantha V Chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588108708 PECOS PAC ID: 1759657182 Enrollment ID: I20180206001629 |
| Provider Name | Anja Bircher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629320338 PECOS PAC ID: 8224392212 Enrollment ID: I20180426002923 |
| Provider Name | Donald Vernon Dressel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275058869 PECOS PAC ID: 0840555330 Enrollment ID: I20180604003079 |
| Provider Name | Shannon Heuklom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144686312 PECOS PAC ID: 6901151034 Enrollment ID: I20180613003170 |
| Provider Name | Andrew J Desruisseau |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518945658 PECOS PAC ID: 3577522614 Enrollment ID: I20181018002274 |
| Provider Name | Leticia Mariana Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003209933 PECOS PAC ID: 9032422761 Enrollment ID: I20181208000495 |
| Provider Name | Natalie Gougeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700214038 PECOS PAC ID: 9739423534 Enrollment ID: I20181226002078 |
| Provider Name | Calvin Louis Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992228308 PECOS PAC ID: 4789920190 Enrollment ID: I20190107000555 |
| Provider Name | Priscilla Kyu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558590943 PECOS PAC ID: 5991044018 Enrollment ID: I20190306002385 |
| Provider Name | Michelle A Tsang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851754956 PECOS PAC ID: 0941535322 Enrollment ID: I20190708000753 |
| Provider Name | Stuart Malcolm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124472055 PECOS PAC ID: 5890025852 Enrollment ID: I20190918001904 |
| Provider Name | William Jonah Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124674981 PECOS PAC ID: 1759713969 Enrollment ID: I20191108002290 |
| Provider Name | Lilly Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609417567 PECOS PAC ID: 8224462387 Enrollment ID: I20191223001897 |
| Provider Name | Maria Celles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912377573 PECOS PAC ID: 7810321437 Enrollment ID: I20200107000774 |
| Provider Name | Kyung Mi Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962974907 PECOS PAC ID: 1658706783 Enrollment ID: I20200120001189 |
| Provider Name | Joycelin Kinte Prothro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023137197 PECOS PAC ID: 6507293487 Enrollment ID: I20200305002665 |
| Provider Name | Brooke D Simons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811530116 PECOS PAC ID: 9830520022 Enrollment ID: I20200501001856 |
| Provider Name | Sarah Ann Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760848295 PECOS PAC ID: 2567884570 Enrollment ID: I20200622000197 |
| Provider Name | Priyadarshini Agrawal |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1912354689 PECOS PAC ID: 7113343740 Enrollment ID: I20200813001600 |
| Provider Name | Nathan Jamison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992155782 PECOS PAC ID: 2365733367 Enrollment ID: I20200827003194 |
| Provider Name | Anneka Citrin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174857775 PECOS PAC ID: 1557780384 Enrollment ID: I20200929001092 |
| Provider Name | Ma Isabella Ventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366072894 PECOS PAC ID: 1153731096 Enrollment ID: I20201105000215 |
| Provider Name | Larissa Belsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063042380 PECOS PAC ID: 0648680132 Enrollment ID: I20201112001637 |
| Provider Name | Timothy Loyd Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770880270 PECOS PAC ID: 1658784855 Enrollment ID: I20210107001350 |
| Provider Name | Aaron Garay Buchbinder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144848748 PECOS PAC ID: 8527476688 Enrollment ID: I20210409002070 |
| Provider Name | Alice W Knowlton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194195305 PECOS PAC ID: 7719396886 Enrollment ID: I20210503001877 |
| Provider Name | Manel Silva |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790946580 PECOS PAC ID: 1850511510 Enrollment ID: I20210630000850 |
| Provider Name | Melissa C Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700444205 PECOS PAC ID: 7517362494 Enrollment ID: I20210817000414 |
| Provider Name | Gretchen A Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689026692 PECOS PAC ID: 9739584103 Enrollment ID: I20211215001356 |
| Provider Name | Arsho Siroun Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194298109 PECOS PAC ID: 9436531431 Enrollment ID: I20220808002996 |
| Provider Name | Daphne Tak Wai Lo |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1730470121 PECOS PAC ID: 8325351471 Enrollment ID: I20220901001905 |
| Provider Name | Stephanie Speights-sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841720240 PECOS PAC ID: 9931474301 Enrollment ID: I20220920003607 |
| Provider Name | Chidiogo Nwokike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184114522 PECOS PAC ID: 2466701834 Enrollment ID: I20221110001732 |
| Provider Name | Daniel Link |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639223134 PECOS PAC ID: 5698794766 Enrollment ID: I20221215002452 |
| Provider Name | Lauren Hadin Vree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760701247 PECOS PAC ID: 0547633596 Enrollment ID: I20230222002447 |
| Provider Name | Bret J Fimiani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568713519 PECOS PAC ID: 8426321050 Enrollment ID: I20230425000200 |
| Provider Name | Kelsey Ann Hippen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104191832 PECOS PAC ID: 0547623621 Enrollment ID: I20230823002362 |
| Provider Name | Lisa Gay Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285183822 PECOS PAC ID: 3274820444 Enrollment ID: I20240111004267 |
| Provider Name | Rita Ayoub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770205478 PECOS PAC ID: 9234502147 Enrollment ID: I20240115000613 |
Richard Joseph Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 548 Market St # 50727, San Francisco, CA 94104 Phone: 415-851-3224 | |
James Y.greenberg, Md, A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2299 Post St Ste 205, San Francisco, CA 94115 Phone: 415-474-7955 Fax: 415-292-0718 | |
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3555 Cesar Chavez St, San Francisco, CA 94110 Phone: 415-641-6401 | |
Jew & Jew Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Clay St, San Francisco, CA 94108 Phone: 415-982-4011 Fax: 415-982-6291 | |
Hampton Health Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 California St, Ste. 470, San Francisco, CA 94109 Phone: 415-202-9990 Fax: 415-843-0548 | |
North East Medical Services-leland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 Leland Avenue, San Francisco, CA 94134 Phone: 415-391-9686 Fax: 415-333-9067 | |
Mission Area Health Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1580 Valencia St Ste 506, San Francisco, CA 94110 Phone: 415-852-4080 Fax: 415-431-3178 |