Individual provider Active NPI

Jaja Teng, PHARM.D

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1225209729
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH54377 Issued in CA
Practice address
7060 Clairemont Mesa Blvd
1St Floor Outpatient Pharmacy
San Diego, CA 92111-1003
Phone
(858) 573-5301
Fax
(858) 573-5592
NPI assigned
Mar 12, 2008
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH54377 CA Primary

Addresses

Primary practice location

7060 Clairemont Mesa Blvd
1St Floor Outpatient Pharmacy
San Diego, CA 92111-1003

Mailing address

7060 Clairemont Mesa Blvd
1St Floor Outpatient Pharmacy
San Diego, CA 92111-1003
Phone (858) 573-5301

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH54377CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1225209729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7060 CLAIREMONT MESA BLVD",
            "address_2": "1ST FLOOR OUTPATIENT PHARMACY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111003",
            "telephone_number": "858-573-5301",
            "fax_number": "858-573-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 CLAIREMONT MESA BLVD",
            "address_2": "1ST FLOOR OUTPATIENT PHARMACY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111003",
            "telephone_number": "858-573-5301",
            "fax_number": "858-573-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENG",
        "first_name": "JAJA",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH54377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.