Active NPI
Jose Gustavo Lazo Jr.
- Pharmacist
- San Francisco, CA
National Provider Identifier
1124622030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 81272
- Practice address
- 521 Parnassus Ave Room C-152, B- 0622
San Francisco, CA 94143 - Phone
- (973) 986-3098
- NPI assigned
- Nov 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 81272 | CA | Primary |
| Pharmacy | 333600000X | 28RJ07964 | NJ |
Addresses
Primary practice location
521 Parnassus Ave Room C-152, B- 0622
San Francisco, CA 94143
Mailing address
521 Parnassus Ave Room C-152, Box 0622
San Francisco, CA 94143
Phone (973) 986-3098
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 |
|---|---|---|---|
| 28RJ07964 | NJ | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Medical Group Business Services | Past | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients |
Organizations & group practices 4
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.
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- General Acute Care Hospital
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1124622030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 PARNASSUS AVE ROOM C-152, BOX 0622",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94143",
"telephone_number": "973-986-3098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 PARNASSUS AVE ROOM C-152, B- 0622",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94143",
"telephone_number": "973-986-3098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZO",
"first_name": "JOSE",
"middle_name": "GUSTAVO",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-23",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81272",
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "28RJ07964",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.