Active NPI
Jazlyn Alyssa Quintana, RPH
- Pharmacist
- San Mateo, CA
National Provider Identifier
1417803560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 92059
- Practice address
- 4242 S El Camino Real
San Mateo, CA 94403-5133 - Phone
- (650) 573-5401
- NPI assigned
- Mar 9, 2026
- Sex
- Female
- 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 | 92059 | CA | Primary |
Addresses
Primary practice location
4242 S El Camino Real
San Mateo, CA 94403-5133
Mailing address
1001 National Ave Apt 508
San Bruno, CA 94066-5822
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92059 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1417803560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 NATIONAL AVE APT 508",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940665822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 S EL CAMINO REAL",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944035133",
"telephone_number": "650-573-5401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "JAZLYN",
"middle_name": "ALYSSA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-09",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "92059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.