Active NPI
Lilia Chang De Jesus, M.D.
- Pediatrics Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A121019
- Practice address
- 1001 Potrero Avenue
BLDG. 5, #6M
San Francisco, CA 94110 - Phone
- (628) 206-8361
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301078225 | MI | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 121019 | CA | |
| Pediatrics Physician | 208000000X | A121019 | CA | Primary |
Addresses
Primary practice location
1001 Potrero Avenue
BLDG. 5, #6M
San Francisco, CA 94110
Mailing address
PO Box 743749
Los Angeles, CA 90074-3749
Other practice location 1
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 498-7516
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301078225 | MI | MD | Specialist |
| A121019 | CA | MD | Pediatrics Physician |
| 121019 | CA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City and County of San Francisco | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| City & County of San Francisco | Current | Accepting new patients |
Locations
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753
1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774
Interoperability endpoints
- ldejesus62152@direct-ucsfmedicalcenter.org
- ldejesus272843@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
dba San Francisco Public Health Laboratory
- Clinical Medical Laboratory
- San Francisco, CA
- NPI 1982737524
-
dba UCSF SFGH Medical Group Dept of Otolaryngology
- Otolaryngology Physician
- San Francisco, CA
- NPI 1154396208
-
dba CCSF DPH Multi - Practice Medical Group
- Community Health/Public Health Clinical Nurse Specialist
- San Francisco, CA
- NPI 1609041060
-
dba DSAAM OTOP Methadone Maintenance
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
-
dba UCSF SFGH Medical Group Division of Vascular Surgery
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
dba UCSF SFGH Medical Group, Medicine Consult Services
- Internal Medicine Physician
- San Francisco, CA
- NPI 1710232319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1356557284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743749",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900743749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 POTRERO AVENUE",
"address_2": "BLDG. 5, #6M",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "628-206-8361"
}
],
"practiceLocations": [
{
"address_1": "725 Welch Rd",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041601",
"country_code": "US",
"telephone_number": "650-498-7516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE JESUS",
"first_name": "LILIA",
"middle_name": "CHANG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301078225",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "121019",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A121019",
"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 Feb 12, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.