JACK JI


Address: 180 Kimball Way, South San Francisco, CA 94080-6218
Phone: 8882686795

JACK JI (NPI# 1205494218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205494218
Entity Type Individual
Full Name JACK JI
Credential PHD, FACMG
Practice Address 180 Kimball Way
South San Francisco
CA 94080-6218
Practice Telephone 8882686795
Practice Fax Number 6085412450
Mailing Telephone 8882686795
Mailing Fax Number 6085412450
Enumeration Date 2019-06-04
Last Update Date 2019-06-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247ZC0005X Pathology
Specialization: Clinical Laboratory Director, Non-physician
JIXXJ1 NY Technologists, Technicians & Other Technical Service Providers

Other Providers JACK JI

NPI Name Taxonomy Address Enumeration
1730358789 Jack Ce Ji Hospitalist 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-02-25

Office Location

Street Address 180 KIMBALL WAY
City SOUTH SAN FRANCISCO
State CA
Zip Code 94080-6218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346479169 Myriad Women's Health, Inc. Clinical Medical Laboratory 180 Kimball Way, South San Francisco, CA 94080-6218 2009-07-14
1174031850 Saurav Guha Medical Genetics 180 Kimball Way, South San Francisco, CA 94080-6218 2018-01-17
1699112375 Christa Sherburne Adusei Genetic Counselor, MS 180 Kimball Way, South San Francisco, CA 94080-6218 2013-06-04
1669815379 Chana Wiesman Genetic Counselor, MS 180 Kimball Way, South San Francisco, CA 94080-6218 2013-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245704303 Patricia Sweeney Nurse Practitioner 435 Gran Ave, South San Francisco, CA 94080 2019-01-11
1518446988 Yessenia Patricia Pena Ruiz Counselor 117 Pecks Ln, South San Francisco, CA 94080 2018-08-07
1982112579 Breanna Mottau Behavioral Analyst 751a Camino Plaza, San Bruno, CA 94080 2018-01-17
1720594294 Patricia Lynn Jasper Nurse Practitioner 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 2017-12-20
1184146755 Breanne Ho Student in an Organized Health Care Education/Training Program 130 Nursery Way, South San Francisco, CA 94080 2017-07-14
1568843787 Lita Wu Optometrist 119 Hickey Blvd, South San Francisco, CA 94080 2015-06-12
1720479553 Naf Nasser Almadari Physician Assistant 717 Baden Ave, San Francisco, CA 94080 2015-02-16
1528459351 Alexander M Gold Internal Medicine 270 East Grand Avenue, South San Francisco, CA 94080 2015-02-16
1548673411 Elite Care Home Health Agency, Inc. Home Health 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 2014-06-08
1720415979 Optometry Eyecareeyewear Com Inc Optometrist 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 2013-10-02
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Taxonomy Information

Taxonomy Code 247ZC0005X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Pathology
Specialization Clinical Laboratory Director, Non-physician

Taxonomy Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
Notes: Source: National Uniform Claim Committee [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851915888 Pangea Laboratory LLC Pathology 3189 Red Hill Ave Ste D, Costa Mesa, CA 92626-3426 2020-06-05
1851913354 The Laab LLC Pathology 664b W Broadway, Glendale, CA 91204-1008 2020-05-07
1811492028 Andy Madoyan Pathology 1737 E Washington Blvd Ste 5, Pasadena, CA 91104-2772 2018-03-28
1972045110 Anthony Butch Pathology 2122 Granville Ave, Los Angeles, CA 90095-6106 2016-11-04
1730589102 Dale Ann Schwab Pathology 5785 Corporate Ave, Cypress, CA 90630-4726 2014-09-03
1992366843 Tharanga Niroshini Senaratne Pathology 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2019-06-21
1831753839 Daniel Yue-king Chan Pathology 430 S Cataract Ave, San Dimas, CA 91773-2902 2019-04-24
1265700660 Ketevan Gendzekhadze Pathology 1500 Duarte Rd, Duarte, CA 91010-3012 2011-12-13
1811295165 Athena M Cherry Pathology 3375 Hillview Ave, Room 2809, Palo Alto, CA 94304-1204 2011-03-10
1386962884 Gordana Raca Pathology 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2010-05-07
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Competitor

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City SOUTH SAN FRANCISCO
Zip Code 94080

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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