Active NPI
Jonathan Lim Meas
- Pharmacist
- San Bernardino, CA
National Provider Identifier
1417595190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76928
- Practice address
- 1564 W Base Line St
San Bernardino, CA 92411-1712 - Phone
- (909) 381-6944
- NPI assigned
- Dec 13, 2019
- Last updated
- Dec 13, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 76928 | CA | Primary |
Addresses
Primary practice location
1564 W Base Line St
San Bernardino, CA 92411-1712
Mailing address
1564 W Base Line St
San Bernardino, CA 92411-1712
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
| License | State | Type | Specialty |
|---|---|---|---|
| 76928 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | 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, 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": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1417595190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1564 W BASE LINE ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924111712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1564 W BASE LINE ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924111712",
"telephone_number": "909-381-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEAS",
"first_name": "JONATHAN",
"middle_name": "LIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.