Active NPI
Jay Gu, DDS
- Dentist
- Menlo Park, CA
National Provider Identifier
1841846714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104305
- Practice address
- 888 Oak Grove Ave Ste 3
Menlo Park, CA 94025-4428 - Phone
- (650) 322-1864
- Fax
- (650) 322-1861
- NPI assigned
- Aug 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 104305 | CA | Primary |
Addresses
Primary practice location
888 Oak Grove Ave Ste 3
Menlo Park, CA 94025-4428
Mailing address
363 Bay Ridge Dr
Daly City, CA 94014-1555
Phone (415) 238-6686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104305 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1841846714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 BAY RIDGE DR",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940141555",
"telephone_number": "415-238-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 OAK GROVE AVE STE 3",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254428",
"telephone_number": "650-322-1864",
"fax_number": "650-322-1861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GU",
"first_name": "JAY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-15",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.