JBP Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JBP MEDICAL GROUP

Practice address

9200 Milliken Ave Apt 1112
Rancho Cucamonga, CA 91730-5485

Phone

(714) 773-2379

NPI assigned

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Park, MDNPI 1205324969

Title

Owner/Physician

Phone

(714) 773-2327

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Park, MD

  • Family Medicine Physician
  • Jurupa Valley, CA
  • NPI 1205324969

  Family Medicine

  NPD Authorized official

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1295442010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 MILLIKEN AVE APT 1112",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305485",
            "telephone_number": "714-773-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MILLIKEN AVE APT 1112",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305485",
            "telephone_number": "714-773-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBP MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "714-773-2327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Javadi, OD
• Payam Javaherizadeh, PHARMD
• Janika Ylanda Capulong Javier
• Jayapal a Reddy MD and Radha T Reddy MD Inc
• Jayakumar Jayarajan, SPEECH PATHOLOGIST
• JDR Family Therapy Inc
• Jean Yeh Optometry Corporation
• Samantha Jefferson, RBT
• Leslie Jeffery
• Jeffrey Harrow, M.D. & Samuel Schwartz, M.D., P.C.

• All providers in Rancho Cucamonga, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.