Organization Active NPI

Jennifer G Ross MD Inc

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1649598053
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JENNIFER G ROSS MD INC
Practice address
2186 Geary Blvd., Suite 316
San Francisco, CA 94115
Phone
(415) 346-3081
Fax
(415) 346-3757
NPI assigned
May 10, 2010
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Jennifer Gray Ross, M.D.NPI 1144232372
Title
Owner
Phone
(415) 346-3081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2186 Geary Blvd., Suite 316
San Francisco, CA 94115

Mailing address

2186 Geary Blvd., Suite 316
San Francisco, CA 94115
Phone (415) 346-3081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170926004242 CA Part B Supplier - Clinic/Group Practice 9234321381 Receives reassigned benefits from 2 practitioners
Practice locations: San Francisco, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0953320Jennifer G Ross MD2186 Geary Boulevard Suite 316, San Francisco, CA 94115Certificate of waiverOct 29, 2026

National Provider Directory

National Provider Directory

Locations

2186 Geary Blvd
Ste 316
San Francisco, CA 94115
Phone (415) 346-3081

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1649598053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 GEARY BLVD., SUITE 316",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-346-3081",
            "fax_number": "415-346-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 GEARY BLVD., SUITE 316",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-346-3081",
            "fax_number": "415-346-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER G ROSS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-346-3081",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "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 Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.