Organization Active NPI

Jow Sports Medicine PC

Doing business as Avid Sports Medicine

  • Sports Medicine (Internal Medicine) Physician
  • San Francisco, CA
National Provider Identifier
1780240234
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
Legal business name
JOW SPORTS MEDICINE PC
Doing business as
Avid Sports Medicine
Practice address
425 2ND St Ste 307
San Francisco, CA 94107-1420
Phone
(415) 480-4569
NPI assigned
May 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Dr. Veronica Jow, MDNPI 1053597005
Title
President
Phone
(617) 216-7771

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
Sports Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0010X Primary

Addresses

Primary practice location

425 2ND St Ste 307
San Francisco, CA 94107-1420

Mailing address

425 2ND St Ste 307
San Francisco, CA 94107-1420
Phone (415) 480-4569

Other names 1

  • Avid Sports Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190926002106 CA Part B Supplier - Clinic/Group Practice 6103156633 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

425 2nd St
Ste 307
San Francisco, CA 94107
Phone (415) 480-4569

480 2nd St
Ste 100
San Francisco, CA 94107
Phone (415) 408-7557

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1780240234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 2ND ST STE 307",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071420",
            "telephone_number": "415-480-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 2ND ST STE 307",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071420",
            "telephone_number": "415-480-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOW SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "JOW",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-216-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avid Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avid Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.