Individual provider Active NPI

Connie Fu Ma

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1316617756
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85020 Issued in CA
Practice address
3364 Beyer Blvd
San Diego, CA 92173-1322
Phone
(619) 205-4585
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 85020 CA Primary

Addresses

Primary practice location

3364 Beyer Blvd
San Diego, CA 92173-1322

Mailing address

3364 Beyer Blvd
San Diego, CA 92173-1322
Phone (619) 205-4585

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL conniema95@gmail.com

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

LicenseStateTypeSpecialty
85020CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vons Companies Inc PastSince Sep 1, 2021 Accepting new patients
Vons Companies Inc PastSince Sep 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1316617756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364 BEYER BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921731322",
            "telephone_number": "619-205-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3364 BEYER BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921731322",
            "telephone_number": "619-205-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "CONNIE",
        "middle_name": "FU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "conniema95@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "3364 Beyer Blvd",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921731322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 28, 2023; 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.