Individual provider Active NPI

Jie Ling

  • Internal Medicine Physician
  • Millbrae, CA
National Provider Identifier
1003187766
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A130461 Issued in CA
Practice address
101 El Camino Real
Millbrae, CA 94030-2605
Phone
(650) 651-7175
Fax
(650) 651-7173
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A130461 CA Primary

Addresses

Primary practice location

101 El Camino Real
Millbrae, CA 94030-2605

Mailing address

840 Hawthorne Way
Millbrae, CA 94030-3017
Phone (650) 866-0422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141208000112 CA Practitioner - Internal Medicine 8527380252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 El Camino Real
Millbrae, CA 94030-2605
Phone (650) 651-7175

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130461CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Union Health Center Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Apollo Family Medicine and Sleep Medicine Inc Past Accepting new patients
Sutter East Bay Medical Foundation Internal Medicine Past Accepting new patients

Locations

1828 El Camino Real
Ste 405
Burlingame, CA 94010
Phone (650) 651-7175

101 El Camino Real
Millbrae, CA 94030
Phone (650) 395-7290

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJHAD/Endpoint/FJJHAD
  • Direct secure messaging: jie.ling@403319966007300.direct.elationemr.com

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1003187766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 HAWTHORNE WAY",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940303017",
            "telephone_number": "650-866-0422",
            "fax_number": "650-651-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EL CAMINO REAL",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302605",
            "telephone_number": "650-651-7175",
            "fax_number": "650-651-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LING",
        "first_name": "JIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A130461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrae, CA

Sources for this page

Verify at the official NPI Registry.