Individual provider Active NPI

Jasmine Wong, M.D.

  • Surgery Physician
  • San Francisco, CA
National Provider Identifier
1770756389
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A109119 Issued in CA
Practice address
1600 Divisadero St
2ND Floor, Box 1710
San Francisco, CA 94143-3010
Phone
(415) 353-7908
NPI assigned
Apr 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A109119 CA Primary

Addresses

Primary practice location

1600 Divisadero St
2ND Floor, Box 1710
San Francisco, CA 94143-3010

Mailing address

1600 Divisadero St
2ND Floor, Box 1710
San Francisco, CA 94143-3010
Phone (415) 353-7908

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
I20131023001062 CA Practitioner - General Surgery 7517192883 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
St. Louis College of Physicians and Surgeons, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Dept of SurgeryGroup PAC ID 7719886373, 211 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (415) 206-4632

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

Merit-based Incentive Payment System (MIPS)

Final score
97.51 of 100Reported as group
Quality
92.74
Improvement activities
40
Cost
72.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy55
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109119CAMDGeneral Practice Dentistry
A109119CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services Surgery CurrentSince Sep 3, 2018 Accepting new patients
UCSF Dept of Surgery Surgery CurrentSince Aug 1, 2013 Accepting new patients
City and County of San Francisco CurrentSince Nov 16, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 3, 2018 Accepting new patients
City & County of San Francisco Current Accepting new patients
City & County of San Francisco CurrentSince Nov 16, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

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

1600 Divisadero St
San Francisco, CA 94143
Phone (415) 353-7175

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

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

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

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

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

1600 Divisadero St
Fl 2
San Francisco, CA 94143
Phone (415) 353-7070

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

1825 4th St
Ste 5
San Francisco, CA 94143

1855 4th St
San Francisco, CA 94143
Phone (415) 353-2566

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

1825 4th St
Fl 3
San Francisco, CA 94143
Phone (415) 353-2566

1825 4th St
San Francisco, CA 94143
Phone (415) 353-3000

Interoperability endpoints

  • Direct secure messaging: jwong60310@direct-ucsfmedicalcenter.org

Organizations & group practices 10

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": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1770756389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST",
            "address_2": "2ND FLOOR, BOX 1710",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941433010",
            "telephone_number": "415-353-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DIVISADERO ST",
            "address_2": "2ND FLOOR, BOX 1710",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941433010",
            "telephone_number": "415-353-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JASMINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A109119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.