NPIMap

Individual provider Active NPI

Wenwu Jin, M.D., PH.D.

  • Urology Physician
  • San Francisco, CA
National Provider Identifier
1003051780
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A106793 Issued in CA
Practice address
929 Clay St
Suite 505
San Francisco, CA 94108-1556
Phone
(415) 392-9690
Fax
(415) 392-9695
NPI assigned
Dec 9, 2008
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A106793 CA Primary

Addresses

Primary practice location

929 Clay St
Suite 505
San Francisco, CA 94108-1556

Mailing address

929 Clay St Ste 505
San Francisco, CA 94108-1500
Phone (415) 392-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090805000712 CA Practitioner - Urology 0446303622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Golden Gate Urology IncGroup PAC ID 4284789710, 12 clinicians
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

2186 Geary Blvd
Suite 214
San Francisco, CA 94115-3456
Phone (415) 922-3255

2186 Geary Blvd
Suite 320
San Francisco, CA 94115-3457
Phone (415) 749-6900

929 Clay St
Suite 505
San Francisco, CA 94108-1500
Phone (415) 392-9690

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A106793CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Gate Urology Inc Urology CurrentSince Jul 1, 2010 Accepting new patients
Golden Gate Urology Inc Urology CurrentSince Jan 1, 2010 Accepting new patients
San Francisco Urology Med GR Urology Current Accepting new patients
Wenwu Jin MD PHD Incorporated Urology PastSince Aug 1, 2009 Accepting new patients
St Mary Medical Center Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
St Mary Medical Center Inc Past Accepting new patients
St Mary Medical Center Inc Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

2100 Webster St
Ste 222
San Francisco, CA 94115
Phone (415) 202-0250

2186 Geary Blvd
Ste 214
San Francisco, CA 94115
Phone (415) 922-3047

929 Clay St
Ste 505
San Francisco, CA 94108
Phone (415) 392-9690

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/101c0869-4f3e-4fdb-af79-02ba9f712e30/

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1003051780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 CLAY ST STE 505",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081500",
            "telephone_number": "415-392-9690",
            "fax_number": "415-392-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 CLAY ST",
            "address_2": "SUITE 505",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081556",
            "telephone_number": "415-392-9690",
            "fax_number": "415-392-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "WENWU",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A106793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.