HAIGHT ASHBURY FREE CLINIC
NPI 1760427843
Clinic/Center - Federally Qualified Health Center (FQHC) in San Francisco, CA
About Haight Ashbury Free Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAIGHT ASHBURY FREE CLINIC (NPI 1760427843) is a healthcare organization registered as a federally qualified health center (fqhc) in San Francisco, California and active in the NPI registry since June 2006. The organization lists Vitka Eisen, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Haight Ashbury Free Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
76Medicare enrollment records show 76 clinicians reassign Medicare billing to Haight Ashbury Free Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 76Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Healthright 360's NPI number?
The NPI number for Healthright 360 is 1760427843. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as Haight Ashbury Free Clinic.
Where is Healthright 360 located?
Healthright 360 is located at 558 Clayton St, San Francisco, CA 94117. The listed phone number is (415) 226-1775.
What is Healthright 360's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Healthright 360 enrolled in Medicare?
Yes. Healthright 360 is registered in the Medicare PECOS enrollment system.
When is Healthright 360's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Healthright 360?
According to the CMS Revalidation Reassignment List (October 2026 release), 76 clinicians in 14 Medicare specialties reassign their Medicare billing to Healthright 360. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (32), Clinical Social Worker (11) and Family Practice (7). Of these, 1 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Healthright 360 was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Haight Ashbury Free Clinic · NPI 1760427843
Federally Qualified Health Center (FQHC) organization in San Francisco, California. Organization record, active in the CMS NPPES registry since June 20, 2006.
## Identity
- **NPI:** 1760427843 (Entity type: Organization)
- **Enumerated:** June 20, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Healthright 360
- **Organization subpart:** No
- **Authorized official:** Vitka Eisen, PRESIDENT & CEO
## Practice location
- **Address:** 558 CLAYTON ST, San Francisco, CA 94117-2907
- **Phone:** (415) 226-1775
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 76 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Clinical Social Worker (11), Family Practice (7); 1 practice at this address and 34 within 10 miles; [full list](https://npiprofile.com/npi/1760427843/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 1, 2019
- **Other identifiers:** Medicaid 11599F (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1760427843) · Data from the CMS NPPES public registry.