Active NPI
Jason Ahn, M.D., M.P.A.
- Emergency Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A141998
- Practice address
- 75 Francis St
BWH Dept. of Emergency Medicine
Boston, MA 02115-6110 - Phone
- (617) 732-8070
- NPI assigned
- Mar 30, 2012
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A141998 | CA | Primary |
Addresses
Primary practice location
75 Francis St
BWH Dept. of Emergency Medicine
Boston, MA 02115-6110
Mailing address
75 Francis St
BWH Dept. of Emergency Medicine
Boston, MA 02115-6110
Phone (617) 732-8070
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160728002242 | CA | Practitioner - Emergency Medicine | 9335391358 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Harvard Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600
2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111
Hospital & facility affiliations
- Northbay Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A141998 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Emergency Physicians Associates Fremont PC | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Associates San Jose PC | Emergency Medicine | Current | Accepting new patients |
| Solano Gateway Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Victory Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| UCLA Medical Group | Emergency Medicine | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
Interoperability endpoints
- jahn474760@direct.uclahealth.org
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Fremont, CA
- NPI 1790250967
CA, Emergency Medicine
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
CA, Emergency Medicine
-
- Emergency Medicine Physician
- San Jose, CA
- NPI 1306311576
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Fairfield, CA
- NPI 1952344293
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1932402716
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Long Beach, CA
- NPI 1144849530
Emergency Medicine
-
- Emergency Medicine Physician
- Walnut Creek, CA
- NPI 1407886138
Emergency Medicine
-
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
Hospital & facility affiliations 1
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": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1851667299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "BWH DEPT. OF EMERGENCY MEDICINE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"address_2": "BWH DEPT. OF EMERGENCY MEDICINE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "M.D., M.P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-30",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A141998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.