Individual provider Active NPI

Jill Marie White, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • San Francisco, CA
National Provider Identifier
1427360940
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
101209 Issued in CA
Practice address
4150 Clement St
San Francisco, CA 94121
Phone
(415) 221-4810
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 101209 CA
General Practice Dentistry 1223G0001X 056566 NY
Oral and Maxillofacial Pathology Dentistry 1223P0106X 056566 NY
Oral and Maxillofacial Pathology Dentistry 1223P0106X 101209 CA Primary

Addresses

Primary practice location

4150 Clement St
San Francisco, CA 94121

Mailing address

4150 Clement St
San Francisco, CA 94121-1563
Phone (415) 221-4810

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
I20230413002405 CA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 6800261330 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101209CAMDMarriage & Family Therapist
056566NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Mar 30, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Mar 30, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 30, 2023 Accepting new patients
UCSF Oral & Maxillofacial Surgery CurrentSince Mar 30, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 30, 2023 Accepting new patients
UCSF Oral Medicine Clinic General Practice CurrentSince Mar 30, 2023 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

4150 Clement St
San Francisco, CA 94121
Phone (415) 750-2110

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

513 Parnassus Ave
Rm S722
San Francisco, CA 94143
Phone (415) 476-2045

1701 Divisadero St
Rm 280
San Francisco, CA 94115
Phone (415) 353-7535

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

1701 Divisadero St
Ste 280
San Francisco, CA 94115
Phone (415) 514-6200

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000

513 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-1239

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1427360940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211563",
            "telephone_number": "415-221-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94121",
            "telephone_number": "415-221-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101209",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056566",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NY",
            "license": "056566",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "101209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.