Active NPI
Jing Meng
- Pharmacist
- San Leandro, CA
National Provider Identifier
1013492693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77858
- Practice address
- 699 Lewelling Blvd
San Leandro, CA 94579-1870 - Phone
- (720) 254-8224
- NPI assigned
- Sep 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 77858 | CA | Primary |
Addresses
Primary practice location
699 Lewelling Blvd
San Leandro, CA 94579-1870
Mailing address
1369 Alder Lake CT
San Jose, CA 95131-3547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77858 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1013492693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1369 ALDER LAKE CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951313547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 LEWELLING BLVD",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945791870",
"telephone_number": "720-254-8224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENG",
"first_name": "JING",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-28",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "77858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.