Individual provider Active NPI

Shaoxian Qin, FNP

  • Family Nurse Practitioner
  • South San Francisco, CA
National Provider Identifier
1831630813
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006261 Issued in CA
Practice address
748 Stonegate Dr
South San Francisco, CA 94080-1561
Phone
(415) 312-3517
NPI assigned
Mar 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 816407 CA
Family Nurse Practitioner 363LF0000X 95006261 CA Primary

Addresses

Primary practice location

748 Stonegate Dr
South San Francisco, CA 94080-1561

Mailing address

748 Stonegate Dr
South San Francisco, CA 94080-1561
Phone (415) 312-3517

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
I20170803002755 CA Practitioner - Nurse Practitioner 4981975323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chinese Hospital AssociationGroup PAC ID 9436042413, 37 clinicians

Practice addresses (Care Compare)

1800 31St Ave
San Francisco, CA 94122-4229
Phone (415) 677-2388

386 Gellert Blvd
Suite Bcandd
Daly City, CA 94015-2611
Phone (650) 761-3500

845 Jackson St
San Francisco, CA 94133-4851
Phone (415) 677-2399

Hospital & facility affiliations

  • Self-Help Homecare & Hospice Home health agency, San Francisco, CA, CCN 057570
  • Chinese Hospital Hospital, San Francisco, CA, CCN 050407

Merit-based Incentive Payment System (MIPS)

Final score
99.23 of 100Reported as group
Quality
90.21
Promoting interoperability
100
Improvement activities
40
Cost
90.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
816407CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chinese Hospital Association CurrentSince Jun 17, 2017 Accepting new patients
Chinese Hospital Association Current Accepting new patients
Chinese Hospital Association CurrentSince Jun 17, 2017 Accepting new patients
Chinese Hospital Association Current Accepting new patients

Locations

386 Gellert Blvd
Ste Bcd
Daly City, CA 94015
Phone (650) 761-3500

386 Gellert Blvd
Daly City, CA 94015
Phone (415) 677-2320

845 Jackson St
Ste B1
San Francisco, CA 94133
Phone (415) 677-2370

845 Jackson St
#B1
San Francisco, CA 94133
Phone (415) 677-2370

1800 31st Ave
San Francisco, CA 94122
Phone (415) 566-0633

Organizations & group practices 4

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 2

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": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1831630813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 STONEGATE DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801561",
            "telephone_number": "415-312-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 STONEGATE DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801561",
            "telephone_number": "415-312-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIN",
        "first_name": "SHAOXIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "816407",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.