Individual provider Active NPI

Jonathan James Leland Ma, PHARMD, MS

  • Community/Retail Pharmacy
  • Orange, CA
National Provider Identifier
1780104869
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
73903 Issued in CA
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

Updated by the provider on Jun 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
73903CAMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.