Active NPI
Jill Marion Fontimayor, PHARM.D.
- Pharmacist
- San Diego, CA
National Provider Identifier
1619328382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69392
- Practice address
- 16773 Bernardo Center Dr
San Diego, CA 92128-2509 - Phone
- (858) 451-2630
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- 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 | 69392 | CA | Primary |
Addresses
Primary practice location
16773 Bernardo Center Dr
San Diego, CA 92128-2509
Mailing address
10586 Aspen GLN
Escondido, CA 92026-7324
Phone (858) 442-6471
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69392 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1619328382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10586 ASPEN GLN",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920267324",
"telephone_number": "858-442-6471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16773 BERNARDO CENTER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282509",
"telephone_number": "858-451-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTIMAYOR",
"first_name": "JILL MARION",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.