Premesh Jina, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

47066 Issued in CA

Practice address

510 W Central Ave Ste a
Brea, CA 92821-3032

Phone

(844) 458-6224

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

Locations

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.

• Astrana Care RX LLC

  • Specialty Pharmacy
  • Brea, CA
  • NPI 1962122192
  NPD

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1568451771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 JUNEBERRY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926064503",
            "telephone_number": "844-458-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W CENTRAL AVE STE A",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213032",
            "telephone_number": "844-458-6224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Willow St",
            "address_purpose": "LOCATION",
            "city": "Signal Hill",
            "state": "CA",
            "postal_code": "907552132",
            "country_code": "US",
            "telephone_number": "562-424-2837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JINA",
        "first_name": "PREMESH",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "47066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade-Ming Jeng, MD
• David Franklin Jesse, M.D.
• JH Chun Dental Group Corporation
• Ellen Ji, DO
• Stefanie Jimenez
• JNH Redbud Home, Inc.
• Hyunsoo Jo
• John B Christensen, DDS, Inc
• John H Mitchell MD Inc
• John Y Chung DMD Inc

• Pharmacist in Brea, CA
• Providers in Brea, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.