MR. JACKSON CHAU


Address: 4117 Judah Stree, San Francisco, CA 94122-1124
Phone: 4155660832

MR. JACKSON CHAU (NPI# 1518042977) 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) 1518042977
Entity Type Individual
Full Name MR. JACKSON CHAU
Credential LAC
Practice Address 4117 Judah Stree
San Francisco
CA 94122-1124
Mailing Address 4117 Judah St
San Francisco
CA 94122-1124
Practice Telephone 4155660832
Practice Fax Number 4155660832
Mailing Telephone 4155660832
Mailing Fax Number 4155660832
Enumeration Date 2006-10-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246Z00000X Specialist/Technologist, Other LAC5040 CA Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA ACUPUNCTURISTS LAC5040 01

Office Location

Street Address 4117 JUDAH STREE
City SAN FRANCISCO
State CA
Zip Code 94122-1124

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1740710524 Kimberly Sui Fan Fung Registered Nurse 1279 22nd Ave, San Francisco, CA 94122 2017-06-14
1902335417 Nadia Fakhoury Chiropractor 4027 Judah St, San Francisco, CA 94122 2017-06-08
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Taxonomy Information

Taxonomy Code 246Z00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other

Taxonomy Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992245427 Jennifer Mcevoy Specialist/Technologist, Other 355 1st St Unit S805, San Francisco, CA 94105-3067 2017-03-02
1346457645 Anke Ockeloen Specialist/Technologist, Other 888 Turk Street, San Francisco, CA 94102 2007-05-17
1134540107 Chisheng Chin Specialist/Technologist, Other 25 Van Ness Ave Ste 500, San Francisco, CA 94102-6056 2013-12-18
1083986046 Christina Rinker Specialist/Technologist, Other 795 Folsom St, 1st Floor, San Francisco, CA 94107-1243 2012-02-06
1366632846 Antonio T Trink Specialist/Technologist, Other 1380 Howard St, 5th Floor, San Francisco, CA 94103-2638 2007-07-31
1477689693 Amy Somers Specialist/Technologist, Other 887 Potrero Ave, San Francisco, CA 94110-2869 2007-02-23

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1720632045 Amanda M Vanderford Specialist/Technologist, Other 6150 Tule Lane, Foresthill, CA 95631 2019-07-25
1730655408 Linda Adkins Specialist/Technologist, Other 515 W 6th St Fl 9, Los Angeles, CA 90014-1201 2018-10-19
1346741576 Yasmin Ali Specialist/Technologist, Other 41019 Woodshire Dr, Palmdale, CA 93551-5746 2018-02-22
1669971164 Timothy Michael Dwyer Jr. Specialist/Technologist, Other 3225 S Townsend St, Santa Ana, CA 92704-6647 2018-02-09
1801305503 Judee H Carrico Specialist/Technologist, Other 2032 Thompson Ct Ste 12, Montrose, CA 91020-1652 2017-09-25
1033659388 Morgan Irene Gilfillan Specialist/Technologist, Other 1420 Hornblend St, Apt. 1, San Diego, CA 92109-4329 2017-03-06
1154781631 Harvey Sparks Specialist/Technologist, Other 350 Bon Air, Ste 100, Greenbrae, CA 94904 2016-02-26
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Competitor

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City SAN FRANCISCO
Zip Code 94122

Improve Information

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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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