Active NPI
Bao Lin Jian, MD
- Family Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A167294
- Practice address
- 1520 Stockton St
San Francisco, CA 94133-3354 - Phone
- (415) 391-9686
- NPI assigned
- Jun 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A167294 | CA | Primary |
Addresses
Primary practice location
1520 Stockton St
San Francisco, CA 94133-3354
Mailing address
1520 Stockton St
San Francisco, CA 94133-3354
Phone (415) 391-9686
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- George Washington University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686
Hospital & facility affiliations
- California Pacific Medical Ctr-Davies Campus Hosp
- California Pacific Medical Center- Van Ness Campus
- California Pacific Medical Center - Mission Bernal
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A167294 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Medical Services | Current | Accepting new patients | |
| North East Medical Services | Multi-Specialty | Current | Accepting new patients |
| North East Medical Services | Current | Accepting new patients |
Locations
211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923
82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688
3431 Taraval St
San Francisco, CA 94116
1450 Noriega St
San Francisco, CA 94122
1520 Stockton St
San Francisco, CA 94133
1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686
Interoperability endpoints
- bjian18745@northeastmedicalservicesnems.direct-ci.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1518911304
Multi-Specialty
-
- Physical Therapist
- San Francisco, CA
- NPI 1629575386
-
- Community/Retail Pharmacy
- San Jose, CA
- NPI 1902616279
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1801326640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 STOCKTON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941333354",
"telephone_number": "415-391-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 STOCKTON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941333354",
"telephone_number": "415-391-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIAN",
"first_name": "BAO LIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A167294",
"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 Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.