Active NPI
Jonathan James Leland Ma, PHARMD, MS
- Community/Retail Pharmacy
- Orange, CA
National Provider Identifier
1780104869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 73903
- Practice address
- 396 S Main St. Ste 102
Orange, CA 92868 - Phone
- (562) 916-4320
- NPI assigned
- Jun 21, 2017
- 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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 73903 | CA | Primary |
Addresses
Primary practice location
396 S Main St. Ste 102
Orange, CA 92868
Mailing address
17215 Horst Ave
Cerritos, CA 90703-2733
Phone (562) 916-4320
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
- Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73903 | CA | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JJLM Pharmaceuticals | Community/Retail Pharmacy | Current | Accepting new patients |
Locations
396 S Main St
Ste 102
Orange, CA 92868
Phone (562) 916-4320
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Orange, CA
- NPI 1063932275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1780104869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17215 HORST AVE",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032733",
"telephone_number": "562-916-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 S MAIN ST. STE 102",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "562-916-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "JONATHAN",
"middle_name": "JAMES LELAND",
"credential": "PHARMD, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "73903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.