JBS Pacific, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

102301 Issued in CA

Legal business name

JBS PACIFIC, INC

Practice address

18444 Brookhurst St
Fountain Valley, CA 92708-6706

Phone

(714) 962-2471

NPI assigned

Jun 6, 2018

Organization subpart

No

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

Authorized official

Name

John B Shepherd, DMD

Title

President

Phone

(714) 962-2471

Specialties & licenses 1

Addresses

Practitioners 2

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

• Bjarne Kvarnstrom, DDS

  • General Practice Dentistry
  • Fountain Valley, CA
  • NPI 1851406177
  NPD (past)
• Jonggoo Park, DDS

  • Dentist
  • Fountain Valley, CA
  • NPI 1003394313
  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1356834188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18444 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086706",
            "telephone_number": "714-962-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBS PACIFIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-962-2471",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "102301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul D Jaruszewski, D.D.S.
• Joanne Ruth Balatbat Jasmin
• Jay S.H. Masserman, M.D., Inc.
• Garrett Michael Jay
• Mark Jaynes
• Jenni Nguyen & Christopher Nguyen, D.D.S,Inc. (mile square dentistry)
• Kelsey Jepsen, NP
• Bailey T. Jewett, D.C.
• Haresh S. Jhangiani, M.D.
• Jihyun Ro (365 acupuncture)

• Dental Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.