Jose Jovellanos

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Practice address

H100 Santa Margarita Rd
Camp Pendleton, CA 92055-5191

Phone

(760) 725-1495

NPI assigned

Apr 5, 2011

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1588953079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36860 RED OAK ST",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925969192",
            "telephone_number": "951-719-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "H100 SANTA MARGARITA RD",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-725-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVELLANOS",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Taylor Jones, PHYSICIAN ASST.
• James Kevin Jones, PA
• Julius Jones, DNP, PMHNP
• Cortes Jongjaroenlarp
• Dorian Keith Joslin
• Magdalena Juarez, OTR/L
• Gabrielle K Jung, DDS
• Serene Ravindra Kaggal, PSYD
• Gene Soo Kang, DO
• Michael Kantar

• Medical Laboratory Technician in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Medical Laboratory Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.