SAMUEL FORMO
NPI 1790201689
Community Health Worker in San Francisco, CA

Active since August 22, 2017
234 EDDY ST, SAN FRANCISCO, CA 94102(415) 554-8494 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Feb 4, 2022, Aug 22, 2017 (3 updates tracked since 2017).

About Samuel Formo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL FORMO (NPI 1790201689) is an individual community health worker in San Francisco, California and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1790201689
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameSAMUEL FORMO
Location Address234 EDDY STSan Francisco, CA 94102-2716
Mailing Address234 Eddy StSan Francisco, CA 94102-2716 · (415) 554-8494
Sole ProprietorNo
Enumeration DateAugust 22, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
NPI 1790201689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
234 EDDY ST, San Francisco, CA 94102

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
234 EDDY ST, HOUSING AND URBAN HEALTH CLINIC
SAN FRANCISCO, CA 94102
Registered Nurse (Ambulatory Care)
234 EDDY ST, HOUSING AND URBAN HLTH CLINIC
SAN FRANCISCO, CA 94102
Nurse Practitioner (Family)
234 EDDY ST
SAN FRANCISCO, CA 94102
Nurse Practitioner (Adult Health)
234 EDDY ST, HOUSING AND URBAN HEALTH CLINIC
SAN FRANCISCO, CA 94102
Nurse Practitioner (Adult Health)
234 EDDY ST, HOUSING AND URBAN HEALTH CLINIC
SAN FRANCISCO, CA 94102
Preventive Medicine (Public Health & General Preventive Medicine)
234 EDDY ST, HOUSING AND URBAN HEALTH CLINIC
SAN FRANCISCO, CA 94102
Nurse Practitioner (Adult Health)
234 EDDY ST, HOUSING AND URBAN HEALTH CLINIC
SAN FRANCISCO, CA 94102
Counselor
234 EDDY ST
SAN FRANCISCO, CA 94102

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 Samuel Formo's NPI number?

The NPI number for Samuel Formo is 1790201689. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Samuel Formo located?

Samuel Formo practices at 234 Eddy St, San Francisco, CA 94102. The listed phone number is (415) 554-8494.

What is Samuel Formo's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Samuel Formo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.