Active NPI
Jia Jun Guan, M.D.
- Forensic Pathology Physician
- San Francisco, CA
National Provider Identifier
1417319609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- A155359
- Practice address
- 1 Newhall St
San Francisco, CA 94124-1420 - Phone
- (415) 641-3600
- NPI assigned
- Mar 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Forensic Pathology Physician | 207ZF0201X | A155359 | CA | Primary |
Addresses
Primary practice location
1 Newhall St
San Francisco, CA 94124-1420
Mailing address
1 Newhall St
San Francisco, CA 94124-1420
Phone (415) 641-3600
Other practice location 1
757 Westwood Plz
Los Angeles, CA 90095-7419
Phone (310) 825-5719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A155359 | CA | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684540800000",
"number": "1417319609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 NEWHALL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941241420",
"telephone_number": "415-641-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NEWHALL ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941241420",
"telephone_number": "415-641-3600"
}
],
"practiceLocations": [
{
"address_1": "757 Westwood Plz",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900957419",
"country_code": "US",
"telephone_number": "310-825-5719",
"fax_number": "310-794-3574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUAN",
"first_name": "JIA",
"middle_name": "JUN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-25",
"last_updated": "2023-05-20",
"certification_date": "2023-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "CA",
"license": "A155359",
"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 May 20, 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.