Active NPI
Jason Douglas Tewell, PHARMD
- Pharmacist
- Los Osos, CA
National Provider Identifier
1346494317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60415
- Practice address
- 989 Los Osos Valley Rd
Los Osos, CA 93402-3205 - Phone
- (805) 528-1017
- Fax
- (805) 528-1915
- NPI assigned
- Nov 4, 2008
- Last updated
- Nov 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60415 | CA | Primary |
Addresses
Primary practice location
989 Los Osos Valley Rd
Los Osos, CA 93402-3205
Mailing address
989 Los Osos Valley Rd
Los Osos, CA 93402-3205
Phone (805) 528-1017
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60415 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascencion Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225756800000",
"number": "1346494317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "989 LOS OSOS VALLEY RD",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934023205",
"telephone_number": "805-528-1017",
"fax_number": "805-528-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989 LOS OSOS VALLEY RD",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934023205",
"telephone_number": "805-528-1017",
"fax_number": "805-528-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEWELL",
"first_name": "JASON",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-04",
"last_updated": "2008-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Osos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.