Individual provider Active NPI

Min Suk Jun, DO

  • Urology Physician
  • San Francisco, CA
National Provider Identifier
1093056574
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
18386 Issued in CA
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

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
18386CAMDClinical Social Worker
OS019194PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brownstein & Crane Surgical Services CurrentSince May 25, 2025 Accepting new patients
Min Jun, Inc Urology CurrentSince Nov 12, 2023 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

  • Direct secure messaging: mjun560520@hisp.ehr.sutterhealth.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.