Active NPI
Min Suk Jun, DO
- Urology Physician
- San Francisco, CA
National Provider Identifier
1093056574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 18386
- Practice address
- 2100 Webster St Ste 416
San Francisco, CA 94115-2379 - Phone
- (415) 357-7066
- NPI assigned
- Mar 8, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | OS019194 | PA | |
| Urology Physician | 208800000X | 18386 | CA | Primary |
Addresses
Primary practice location
2100 Webster St Ste 416
San Francisco, CA 94115-2379
Mailing address
1400 Pine St Unit 640810
San Francisco, CA 94164-4732
Phone (415) 357-7066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 17, 2021 through Feb 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18386 | CA | MD | Clinical Social Worker |
| OS019194 | PA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brownstein & Crane Surgical Services | Current | Accepting new patients | |
| Min Jun, Inc | Urology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
575 Sir Francis Drake Blvd
Ste 1
Greenbrae, CA 94904
Phone (415) 625-3230
1400 Pine St
Unit 640810
San Francisco, CA 94164
2100 Webster St
Ste 416
San Francisco, CA 94115
Phone (415) 923-3085
Interoperability endpoints
- mjun560520@hisp.ehr.sutterhealth.org
- mjun991802@nychhc.direct-ci.com
Organizations & group practices 3
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.
-
- Urology Physician
- San Francisco, CA
- NPI 1366216558
-
- Specialist
- Greenbrae, CA
- NPI 1881058790
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1093056574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PINE ST UNIT 640810",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941644732",
"telephone_number": "415-357-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WEBSTER ST STE 416",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152379",
"telephone_number": "415-357-7066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUN",
"first_name": "MIN SUK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-08",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "OS019194",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "18386",
"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 Oct 16, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.