Individual provider Active NPI

Jason D Blantz, NP, MSN

  • Adult Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1225155690
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NPF13458 Issued in CA
Practice address
234 Eddy St
Housing and Urban Health Clinic
San Francisco, CA 94102-2716
Phone
(415) 353-5045
Fax
(415) 292-5048
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN568106 CA
Adult Health Nurse Practitioner 363LA2200X NPF13458 CA Primary

Addresses

Primary practice location

234 Eddy St
Housing and Urban Health Clinic
San Francisco, CA 94102-2716

Mailing address

234 Eddy St
Housing and Urban Health Clinic
San Francisco, CA 94102-2716
Phone (415) 353-5045

Other identifiers 1

IdentifierTypeStateIssuer
073908OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040903000656 CA Practitioner - Nurse Practitioner 8022084755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

220 Golden Gate Ave
San Francisco, CA 94102-3795
Phone (415) 355-7400

555 Stevenson St
San Francisco, CA 94103-1606
Phone (628) 217-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN568106CAMDAmbulatory Care Registered Nurse
NPF13458CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Jan 11, 2020 Accepting new patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Jan 11, 2020 Accepting new patients

Locations

1490 Mason St
San Francisco, CA 94133
Phone (415) 364-7600

2401 Keith St
San Francisco, CA 94124
Phone (415) 671-7000

1525 Silver Ave
San Francisco, CA 94134
Phone (415) 657-1700

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500

1351 24th Ave
San Francisco, CA 94122
Phone (415) 682-1900

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

1050 Wisconsin St
San Francisco, CA 94107
Phone (415) 648-3022

234 Eddy St
San Francisco, CA 94102
Phone (415) 353-5095

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225155690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 EDDY ST",
            "address_2": "HOUSING AND URBAN HEALTH CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022716",
            "telephone_number": "415-353-5045",
            "fax_number": "415-292-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 EDDY ST",
            "address_2": "HOUSING AND URBAN HEALTH CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022716",
            "telephone_number": "415-353-5045",
            "fax_number": "415-292-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTZ",
        "first_name": "JASON",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "NP, MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "RN568106",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NPF13458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "073908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.