Jatin Mehta

Primary specialty

PharmacistTaxonomy code 183500000X

License

46660 Issued in CA

Practice address

12677 Hesperia Rd
Ste 180
Victorville, CA 92395-7735

Phone

(760) 962-1200

Fax

(760) 962-1222

NPI assigned

Oct 6, 2016

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1164972865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9126 SVL BOX",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955147",
            "telephone_number": "760-962-1200",
            "fax_number": "760-962-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD",
            "address_2": "STE 180",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "760-962-1200",
            "fax_number": "760-962-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "JATIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "46660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuliana Alvarez Medina, A.S.W
• Casey Medrano
• Megha Nayyar Gupta MD Inc.
• Ami Ramesh Mehta, DDS
• Chirag Pankaj Mehta, M.D.
• Mala Mehta
• Melanie Arora MD Inc
• Lilliana G Melgar
• Thalia Melo-Hudson
• Ashok N Melvani, MD

• Pharmacist in Victorville, CA
• Providers in Victorville, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.