Individual provider Active NPI

Jerome Nicholas Jew, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1235143702
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G74351 Issued in CA
Practice address
919 Clay St
San Francisco, CA 94108-1520
Phone
(415) 982-4011
Fax
(415) 982-6291
NPI assigned
Jul 28, 2006
Last updated
Feb 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G74351 CA Primary

Addresses

Primary practice location

919 Clay St
San Francisco, CA 94108-1520

Mailing address

919 Clay St
San Francisco, CA 94108-1520
Phone (415) 982-4011

Other identifiers 1

IdentifierTypeStateIssuer
00G743510MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005001287 CA Practitioner - Internal Medicine 7719179001 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74351CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wu Lee Quock Medical Corporation CurrentSince Jan 6, 2025 Accepting new patients

Locations

1044 Taraval St
San Francisco, CA 94116
Phone (415) 566-3808

Interoperability endpoints

  • Direct secure messaging: jerome.jew@11050313187332.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1235143702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CLAY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081520",
            "telephone_number": "415-982-4011",
            "fax_number": "415-982-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CLAY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081520",
            "telephone_number": "415-982-4011",
            "fax_number": "415-982-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEW",
        "first_name": "JEROME",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G74351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G743510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.