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JEROME NICHOLAS JEW NPI 1336806439


NPI Information

NPI: 1336806439
Provider Name: JEROME NICHOLAS JEW
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D0593412

Address:
919 CLAY ST
SAN FRANCISCO, CA
ZIP 94108
Phone: (415) 982-4011
Get Directions

JEROME NICHOLAS JEW is a general practice in San Francisco, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JEROME NICHOLAS JEW NPI is 1336806439. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

919 CLAY ST
SAN FRANCISCO, CA
ZIP 94108-520
Phone: (415) 982-4011
Fax: (415) 982-6291

The provider's authorized official is Valerie Ho-jew .
The authorized official title is Office Manager and has the following contact phone number (415) 982-4011.

The CLIA number assigned to this NPI record is 05D0593412 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2021 and was last updated on 11/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101312369401MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.