JACK JI (NPI# 1205494218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730358789 | Jack Ce Ji | Hospitalist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-02-25 |
Street Address |
180 KIMBALL WAY |
City | SOUTH SAN FRANCISCO |
State | CA |
Zip Code | 94080-6218 |
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 |
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 |
Find all providers in zip 94080 |
Taxonomy Code | 247ZC0005X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Pathology |
Specialization | Clinical Laboratory Director, Non-physician |
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] |
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 |
Find all providers with the same taxonomy |
City | SOUTH SAN FRANCISCO |
Zip Code | 94080 |
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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.