DR. WERNER W. JU (NPI# 1114953841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114953841 |
| Entity Type | Individual |
| Full Name | DR. WERNER W. JU |
| Credential | M.D. |
| Practice Address |
11 S San Mateo Dr San Mateo CA 94401 |
| Mailing Address |
11 S San Mateo Dr San Mateo CA 94401-3803 |
| Practice Telephone | 6503447546 |
| Practice Fax Number | 6503442474 |
| Mailing Telephone | 6503447546 |
| Mailing Fax Number | 6503442474 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2017-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G42898 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLIA-SAN MATEO | 05D0596816 | 01 |
| CA | MEDI-CAL | 00G428980 | 01 |
| CA | RAILROAD MEDICARE-SM | 070014445 | 01 |
| CA | CLIA- SAN LEANDRO | 05D0600577 | 01 |
| AR | RAILROAD MEDICARE-SL | 070002127 | 01 |
| AR | DEA# | AJ9478505 | 01 |
| CA | STATE LICENSE # | G42898 | 01 |
| Street Address |
11 S SAN MATEO DR |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174637144 | Medicross Pharmaceutical Svcs Inc | Pharmacy | 11 S San Mateo Dr, San Mateo, CA 94401-3803 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437422391 | Munyon Dermatology | Dermatology | 215 N San Mateo Dr Ste 1, Suite1, San Mateo, CA 94401-2674 | 2012-02-22 |
| 1548546971 | Meghan Tara Hession | Dermatology | 280 Baldwin Avenue, San Mateo, CA 94409 | 2011-10-31 |
| 1902025190 | Stanley Young | Dermatology | 50 S San Mateo Drive, Suite 380, San Mateo, CA 94401-3865 | 2007-04-25 |
| 1346341252 | Carie Tze-wan Chui | Dermatology | 280 Baldwin Ave, San Mateo, CA 94401-3915 | 2006-09-25 |
| 1194789628 | Lucy M Schmidt | Dermatology | 77 N San Mateo Dr, Suite 3, San Mateo, CA 94401-2889 | 2006-04-13 |
| 1043206261 | Susan D Wolf | Dermatology | 136 N San Mateo Dr Fl 2, San Mateo, CA 94401-2778 | 2005-09-22 |
| 1487827861 | Jennifer L Sorrell | Dermatology | 136 N San Mateo Dr, San Mateo, CA 94401 | 2008-04-08 |
| 1265638860 | Allura Skin & Laser Center, Inc. | Dermatology | 280 Baldwin Ave, San Mateo, CA 94401-3915 | 2007-06-21 |
| 1013072610 | Judith Claire Schiffner | Dermatology | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2006-12-25 |
| 1972674703 | Stanley Young Md Inc | Dermatology | 50 S San Mateo Dr, Suite 380, San Mateo, CA 94401-3865 | 2006-11-13 |
| Find all providers in SAN MATEO | ||||
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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.