Jefferson Uy, MT ASCP

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

09229 Issued in WV

Practice address

547 Edinburgh St
San Francisco, CA 94112-2821

Phone

(415) 312-7730

NPI assigned

Apr 18, 2014

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1396165288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 EDINBURGH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122821",
            "telephone_number": "415-312-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 EDINBURGH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122821",
            "telephone_number": "415-312-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UY",
        "first_name": "JEFFERSON",
        "credential": "MT ASCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "WV",
            "license": "09229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORATORY TECHNOLOGIST",
            "identifier": "09229",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASCP",
            "identifier": "3568",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCLS",
            "identifier": "MTA00045207",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA CLINICAL LABORATORY TECHNOLOGIST",
            "identifier": "TN46183",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Andrew Utstein, CRNA
• Masayuki N Utsumi, D.C.
• Dwight Utzman, PHARM.D.
• Ester Uvaydova
• Elizabeth Loreto Uy-Smith, M.D., M.P.H.
• John Conrad Cruz Uy
• Kari Kara Uy
• Shirly C Uy
• Stacy Joan Uybico, M.D.
• Roxanne Julia Uyeda

• Medical Technologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Medical Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.