JENNIFER JEN-WEI WAN MD
NPI 1356616544
Radiology - Diagnostic Radiology in San Mateo, CA

Active since March 20, 2012PECOS EnrolledAccepts Medicare Assignment
100 S SAN MATEO DR, SAN MATEO, CA 94401(650) 696-4515(650) 696-4626 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2021, Nov 21, 2019, Feb 17, 2016 (3 updates tracked since 2016).

About Jennifer Jen-wei Wan Md NPPES

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

JENNIFER JEN-WEI WAN MD (NPI 1356616544) is an individual diagnostic radiology provider in San Mateo, California, licensed in California (A128087) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, San Diego School Of Medicine (2012).

NPPES Registry Identity

NPI1356616544
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameJENNIFER JEN-WEI WANCredential: MD
Location Address100 S SAN MATEO DRSan Mateo, CA 94401-3805
Mailing AddressPo Box 6102Novato, CA 94948-6102 · (415) 884-3415 · Fax (415) 883-0877
Fax(650) 696-4626
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2012
Enumeration DateMarch 20, 2012
Last NPPES UpdateMarch 19, 20213 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
NPI 1356616544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · A128087
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License A128087 (CA)
100 S SAN MATEO DR, San Mateo, CA 94401

Secondary Practice Locations 2

Location 1222 W 39th AveSan Mateo, CA 94403-4364 · Phone (650) 573-2222 · Fax (650) 573-2122
Location 21501 Trousdale DrBurlingame, CA 94010-4506 · Phone (650) 696-4515 · Fax (650) 696-5280

Other Identifiers 1

Medicaid1356616544CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Jen-wei Wan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436424090
PECOS Enrollment IDI20171006001530
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 57

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
609 services497 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
229 services229 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
199 services196 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
130 services127 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
123 services121 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
113 services113 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
100 S SAN MATEO DR
SAN MATEO, CA 94401
Psychiatric Unit
100 S SAN MATEO DR
SAN MATEO, CA 94401
Radiology (Diagnostic Radiology)
100 S SAN MATEO DR
SAN MATEO, CA 94401
Allergy & Immunology
100 S SAN MATEO DR, STE 400
SAN MATEO, CA 94401
Internal Medicine (Cardiovascular Disease)
100 S SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401
Physical Therapist
100 S SAN MATEO DR
SAN MATEO, CA 94401
Nurse Practitioner (Pediatrics)
100 S SAN MATEO DR, 3RD FLOOR, RM 3364
SAN MATEO, CA 94401
Internal Medicine
100 S SAN MATEO DR
SAN MATEO, CA 94401

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 Jennifer Wan's NPI number?

The NPI number for Jennifer Wan is 1356616544. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Jennifer Wan located?

Jennifer Wan practices at 100 S San Mateo Dr, San Mateo, CA 94401. The listed phone number is (650) 696-4515.

What is Jennifer Wan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jennifer Wan enrolled in Medicare?

Yes. Jennifer Wan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Wan was last updated on March 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.