NPIMap

Individual provider Active NPI

Jenny Kuo, MD MBA

  • Anatomic Pathology & Clinical Pathology Physician
  • South San Francisco, CA
National Provider Identifier
1639136286
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A89121 Issued in CA
Practice address
393 E Grand Ave
Ste I
South San Francisco, CA 94080-6233
Phone
(650) 616-2955
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A89121 CA Primary

Addresses

Primary practice location

393 E Grand Ave
Ste I
South San Francisco, CA 94080-6233

Mailing address

129 Hawthorne Ave
Apt B
Palo Alto, CA 94301-1037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090916000812 CA Practitioner - Pathology 5294881249 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Southern California Keck School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Pathologists Medical Group IncGroup PAC ID 2961485925, 17 clinicians

Practice addresses (Care Compare)

100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone (650) 348-8550

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5400

170 Alameda de Las Pulgas
Redwood City, CA 94062-2751
Phone (650) 367-5538

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 616-2951

3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (650) 616-2951

383 E Grand Ave
Suite a
South San Francisco, CA 94080-6234
Phone (650) 616-2951

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (650) 616-2951

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • Sequoia Hospital Hospital, Redwood City, CA, CCN 050197
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A89121CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Jan 1, 2010 Accepting new patients
County of San Mateo CurrentSince Feb 9, 2021 Accepting new patients
Peninsula Pathologists Medical Group Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2009 Accepting new patients
County of San Mateo CurrentSince Oct 7, 2011 Accepting new patients
Peninsula Pathologists Medical Group CurrentSince Jul 1, 2009 Accepting new patients
County of San Mateo CurrentSince Jan 1, 2010 Accepting new patients
County of San Mateo Current Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

1783 El Camino Real
Burlingame, CA 94010
Phone (650) 696-5400

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

12935 Alcosta Blvd
Unit 3888
San Ramon, CA 94583

383 E Grand Ave
Ste A
South San Francisco, CA 94080
Phone (650) 616-2951

393 E Grand Ave
Ste I
South San Francisco, CA 94080
Phone (650) 589-5278

Interoperability endpoints

  • Direct secure messaging: jkuo18970@smch.direct-ci.com

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.

Hospital & facility affiliations 8

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1639136286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 HAWTHORNE AVE",
            "address_2": "APT B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E GRAND AVE",
            "address_2": "STE I",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940806233",
            "telephone_number": "650-616-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "MD MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A89121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.