JACK JI PHD, FACMG
NPI 1205494218
Pathology - Clinical Laboratory Director, Non-physician in South San Francisco, CA

Q: What is Jack Ji's NPI number?

The NPI number for Jack Ji is 1205494218. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Q: What is Jack Ji's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

Q: When was this NPI record last updated?

The NPPES record for Jack Ji was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 04, 2019

180 KIMBALL WAY, SOUTH SAN FRANCISCO, CA 94080(888) 268-6795(608) 541-2450 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jack Ji Phd, Facmg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK JI PHD, FACMG (NPI 1205494218) is an individual clinical laboratory director, non-physician in South San Francisco, California, licensed in New York (JIXXJ1) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1205494218

Entity TypeIndividualMale

Primary Taxonomy247ZC0005X

Provider Legal NameJACK JICredential: PHD, FACMG

Location Address180 KIMBALL WAYSouth San Francisco, CA 94080-6218

Mailing Address180 Kimball WaySouth San Francisco, CA 94080-6218 · (888) 268-6795 · Fax (608) 541-2450

Phone(888) 268-6795

Fax(608) 541-2450

Sole ProprietorNo

Enumeration DateJune 4, 2019

✔ NPI 1205494218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247ZC0005X

License✔ Licensed in NY · JIXXJ1

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.

180 KIMBALL WAY, South San Francisco, CA 94080

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAURAV GUHA PHD

Medical Genetics (Clinical Molecular Genetics)

180 KIMBALL WAY
SOUTH SAN FRANCISCO, CA 94080

San Mateo County (513) 885-5179

CHANA WIESMAN M.S., CGC

Genetic Counselor, MS

180 KIMBALL WAY
SOUTH SAN FRANCISCO, CA 94080

San Mateo County (415) 407-1809

CHRISTA SHERBURNE ADUSEI MS, CGC

Genetic Counselor, MS

180 KIMBALL WAY
SOUTH SAN FRANCISCO, CA 94080

San Mateo County (315) 212-2968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Ji's NPI number?

The NPI number for Jack Ji is 1205494218. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Jack Ji located?

Jack Ji practices at 180 Kimball Way, South San Francisco, CA 94080. The listed phone number is (888) 268-6795.

What is Jack Ji's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Jack Ji was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.