Jonathan Allen San Luis

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95028524 Issued in CA

Practice address

8710 Monroe CT Ste 200
Rancho Cucamonga, CA 91730-4884

Phone

(909) 481-9515

Fax

(909) 481-9520

NPI assigned

Jan 3, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Filomena S Pascual MD Inc

  • Pediatrics Physician
  • Rancho Cucamonga, CA
  • NPI 1831179498
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1073383857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 MONROE CT STE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304884",
            "telephone_number": "909-481-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 MONROE CT STE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304884",
            "telephone_number": "909-481-9515",
            "fax_number": "909-481-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN LUIS",
        "first_name": "JONATHAN",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95028524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Antonio Regional Hospital (San Antonio Regional Hospital Outpatient Pharmacy)
• Samantha Gabrielle San Antonio
• San Bernardino County Superintendent of Schools
• San Bernardino Medical Orthopaedic Group, Inc. (Arrowhead Orthopaedics)
• San Bernardino Medical Orthopaedic Group, Inc. (Arrowhead Orthopaedics)
• Danny F. San Miguel, SUPPLIER
• Mareya Sanchez Chaidez
• Guadalupe Sanchez Ramirez
• Nefertari S Sanchez Sahagun
• Abigail Sanchez- Montes

• Nurse Practitioner in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.