Werner W. Ju, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G42898 Issued in CA

Practice address

13847 E 14TH St Ste 218
San Leandro, CA 94578

Phone

(510) 483-0312

NPI assigned

Jun 24, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17959/brand/1/csg/1/fhir/r4

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.

• Pedro L. Cajator MD Professional Corporation

  • Family Medicine Physician
  • Daly City, CA
  • NPI 1952445728
  NPD (past)
• Stanley Young MD Inc

  • Dermatology Physician
  • San Mateo, CA
  • NPI 1972674703
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114953841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 SAN IGNACIO AVE STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST STE 218",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94578",
            "telephone_number": "510-483-0312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 S San Mateo Dr",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "94401",
            "country_code": "US",
            "telephone_number": "650-344-7546",
            "fax_number": "650-344-2474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 N San Mateo Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "94401",
            "country_code": "US",
            "telephone_number": "650-348-1242",
            "fax_number": "650-348-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JU",
        "first_name": "WERNER",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G42898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00G428980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-SM",
            "identifier": "070014445",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-SL",
            "identifier": "070002127",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA- SAN LEANDRO",
            "identifier": "05D0600577",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA-SAN MATEO",
            "identifier": "05D0596816",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "G42898",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jena Joy, MD
• Eli Joyce
• Akkeya Joyner
• Jtreliable Transportation
• Tiffany Guo Ju
• Beverly Jane Juan, MD
• Juana Care Facility
• Julie S Zhang East Bay Hospitalist
• Han A Jung
• Paula Junn

• Dermatology Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.