Individual provider Active NPI

Jacob Johnson, MD

  • Otolaryngology Physician
  • San Francisco, CA
National Provider Identifier
1457300477
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A065871 Issued in CA
Practice address
450 Sutter St RM 933
Ste 933
San Francisco, CA 94108-3997
Phone
(415) 362-5443
Fax
(415) 362-2429
NPI assigned
May 8, 2006
Last updated
Sep 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A065871 CA Primary

Addresses

Primary practice location

450 Sutter St RM 933
Ste 933
San Francisco, CA 94108-3997

Mailing address

450 Sutter St RM 933
Ste 933
San Francisco, CA 94108-3997
Phone (415) 362-5443

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
I20081001000493 CA Practitioner - Otolaryngology 5496834160 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Baylor College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians
Regents of the University of California - UCSFGroup PAC ID 3375822471, 78 clinicians

Practice addresses (Care Compare)

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.82 of 100Reported as group
Quality
90.46
Promoting interoperability
76
Improvement activities
40
Cost
75.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A065871CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jun 22, 2010 Accepting new patients
University of California SFGH Medical Group Otolaryngology CurrentSince Jun 22, 2010 Accepting new patients
University of California San Francisco CurrentSince Jan 5, 2013 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 5, 2013 Accepting new patients
Regents of the University of California - UCSF CurrentSince Dec 1, 2016 Accepting new patients
UCSF Medical Group Business Services Otolaryngology CurrentSince Jan 5, 2013 Accepting new patients
University of California San Francisco CurrentSince Jan 5, 2013 Accepting new patients
SH Medical Group Otolaryngology CurrentSince Jul 1, 1998 Accepting new patients
University of California San Francisco Current Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Marin General Hospital Past Accepting new patients
City & County of San Francisco Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
Rm 3A32
San Francisco, CA 94110
Phone (628) 206-8291

2100 Webster St
Ste 202
San Francisco, CA 94115
Phone (415) 749-5779

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

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

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

45 Castro St
Ste 325
San Francisco, CA 94114
Phone (415) 863-3366

450 Sutter St
Rm 933
San Francisco, CA 94108

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jjohnson15534@direct-ucsfmedicalcenter.org
  • Direct secure messaging: jjohnson89311@hisp.ehr.sutterhealth.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1457300477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 933",
            "address_2": "STE 933",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941083997",
            "telephone_number": "415-362-5443",
            "fax_number": "415-362-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 933",
            "address_2": "STE 933",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941083997",
            "telephone_number": "415-362-5443",
            "fax_number": "415-362-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A065871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.