Individual provider Active NPI

Mackenzie Jassowski, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1689261620
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
59681 Issued in CA
Practice address
3838 California St RM 715
San Francisco, CA 94118-1509
Phone
(415) 592-2091
Fax
(415) 752-2560
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 59681 CA Primary

Addresses

Primary practice location

3838 California St RM 715
San Francisco, CA 94118-1509

Mailing address

3838 California St RM 715
San Francisco, CA 94118-1509
Phone (415) 592-2091

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923001768 CA Practitioner - Physician Assistant 9335546977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of California - UCSFGroup PAC ID 3375822471, 78 clinicians

Practice addresses (Care Compare)

3838 California St
RM 516
San Francisco, CA 94118-1507
Phone (415) 668-8010

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
59681CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Orthopaedics & Sports Medicine CurrentSince Sep 13, 2021 Accepting new patients
California Pacific Orthopaedics and Sports Medicine a Medical Corporat CurrentSince Sep 13, 2021 Accepting new patients
University of California San Francisco Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

3838 California St
Rm 715
San Francisco, CA 94118
Phone (415) 592-2014

3838 California St
Rm 516
San Francisco, CA 94118
Phone (415) 668-8010

2001 Winward Way
Ste 101
San Mateo, CA 94404
Phone (650) 288-0602

1099 D St
Ste 105
San Rafael, CA 94901
Phone (415) 302-0456

Interoperability endpoints

  • Direct secure messaging: mjassowski603828@hisp.ehr.sutterhealth.org
  • Direct secure messaging: mjassowski200899@direct-ucsfmedicalcenter.org

Organizations & group practices 6

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 3

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": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1689261620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST RM 715",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181509",
            "telephone_number": "415-592-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST RM 715",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181509",
            "telephone_number": "415-592-2091",
            "fax_number": "415-752-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASSOWSKI",
        "first_name": "MACKENZIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.