Individual provider Active NPI

Jessica Gin Woo, RN, NP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1821611724
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95014503 Issued in CA
Practice address
718 Long Bridge St Apt 101
San Francisco, CA 94158-2445
Phone
(628) 207-0900
NPI assigned
May 26, 2020
Last updated
May 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95014503 CA Primary

Addresses

Primary practice location

718 Long Bridge St Apt 101
San Francisco, CA 94158-2445

Mailing address

718 Long Bridge St Apt 101
San Francisco, CA 94158-2445
Phone (415) 503-6000

Other names 1

  • Jess Woo Other name

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
I20200610001563 CA Practitioner - Nurse Practitioner 7719308139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NP95014503CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkian Hospitalist Corporation CurrentSince Dec 28, 2021 Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1146 N Central Ave
Glendale, CA 91202
Phone (818) 925-2410

Interoperability endpoints

  • Direct secure messaging: jwoo223772@hpmg.direct-ci.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1821611724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 LONG BRIDGE ST APT 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582445",
            "telephone_number": "415-503-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 LONG BRIDGE ST APT 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582445",
            "telephone_number": "628-207-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "JESSICA",
        "middle_name": "GIN",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95014503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESS",
            "last_name": "WOO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.