Active NPI
Jerry Y Jew, MD
- Family Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A93587
- Practice address
- 1520 Stockton St
San Francisco, CA 94133-3354 - Phone
- (415) 391-9686
- Fax
- (714) 544-4578
- NPI assigned
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A93587 | CA | Primary |
Addresses
Primary practice location
1520 Stockton St
San Francisco, CA 94133-3354
Mailing address
1520 Stockton St
San Francisco, CA 94133-3354
Phone (415) 391-9686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Irvine, California College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North East Medical Services
Practice addresses (Care Compare)
1400 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686
1422 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686
1450 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686
211 Eastmoor Ave
Daly City, CA 94015-2036
Phone (415) 391-9686
5580 W Flamingo Rd
Suite 105
Las Vegas, NV 89103-0165
Phone (650) 550-3923
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93587 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Current | Accepting new patients |
Locations
211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923
82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688
1520 Stockton St
San Francisco, CA 94133
1450 Noriega St
San Francisco, CA 94122
1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686
5580 W Flamingo Rd
Ste 105
Las Vegas, NV 89103
Phone (650) 550-3923
Interoperability endpoints
- jjew18497@northeastmedicalservicesnems.direct-ci.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.
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1518911304
-
- Federally Qualified Health Center (FQHC)
- Las Vegas, NV
- NPI 1285418541
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1093992844
-
- Community/Retail Pharmacy
- San Jose, CA
- NPI 1902616279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1083899181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 STOCKTON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941333354",
"telephone_number": "415-391-9686",
"fax_number": "714-544-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 STOCKTON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941333354",
"telephone_number": "415-391-9686",
"fax_number": "714-544-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEW",
"first_name": "JERRY",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A93587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.