Active NPI
Jacob Johnson, MD
- Otolaryngology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A065871
- 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, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- California Pacific Medical Center- Van Ness Campus
- UCSF Medical Center
- California Pacific Medical Ctr-Davies Campus Hosp
- Sonoma Valley Hospital
- Marinhealth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.82 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A065871 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Otolaryngology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Regents of the University of California - UCSF | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Otolaryngology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| SH Medical Group | Otolaryngology | Current | 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
- jjohnson15534@direct-ucsfmedicalcenter.org
- 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.
-
dba UCSF Clinical Integrated Partners
- Multi-Specialty Clinic/Center
- San Francisco, CA
- NPI 1265890263
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Otolaryngology
-
dba SF Otolaryngology Medical Group
- Otolaryngology Physician
- San Francisco, CA
- NPI 1770757551
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
dba UCSF SFGH Medical Group Dept of Otolaryngology
- Otolaryngology Physician
- San Francisco, CA
- NPI 1154396208
-
dba UCSF Orthotic and Prosthetic Center - Gateway Medical Building
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
dba UCSF Medical Center
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
dba UCSF Outpatient Pharmacy at Parnassus
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
dba UCSF SFGH Medical Group Division of Vascular Surgery
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
dba Brown & Toland Medical Group
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
dba Zuckerberg San Francisco General Hospital and Trauma Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1649213000
-
dba St. Mary Medical Center
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
dba Sonoma Valley Hospital
- General Acute Care Hospital
- Sonoma, CA
- NPI 1710063870
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.