Active NPI
Jade Health Care Medical Group, Inc
- Health Maintenance Organization
- San Francisco, CA
National Provider Identifier
1922517846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- JADE HEALTH CARE MEDICAL GROUP, INC
- Practice address
- 445 Grant Avenue
Suite 200
San Francisco, CA 94108 - Phone
- (415) 677-2408
- NPI assigned
- Sep 22, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Woo
- Title
- Director of Operations
- Phone
- (628) 228-2707
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary | ||
| Preferred Provider Organization | 305R00000X |
Addresses
Primary practice location
445 Grant Avenue
Suite 200
San Francisco, CA 94108
Mailing address
445 Grant Avenue
Suite 200
San Francisco, CA 94108
National Provider Directory
National Provider DirectoryLocations
445 Grant Ave
Ste 200
San Francisco, CA 94108
Phone (415) 677-2408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545091200000",
"number": "1922517846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 GRANT AVENUE",
"address_2": "SUITE 200",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 GRANT AVENUE",
"address_2": "SUITE 200",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94108",
"telephone_number": "415-677-2408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JADE HEALTH CARE MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-22",
"last_updated": "2018-12-18",
"status": "A",
"authorized_official_last_name": "WOO",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "628-228-2707",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
}
],
"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 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.