Active NPI
Jay N Surati, PHARMD
- Pharmacist
- Chula Vista, CA
National Provider Identifier
1801417704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70317
- Practice address
- 2084 Otay Lakes Rd Ste 102
Chula Vista, CA 91913-1368 - Phone
- (619) 289-9606
- NPI assigned
- May 1, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 70317 | CA | Primary |
Addresses
Primary practice location
2084 Otay Lakes Rd Ste 102
Chula Vista, CA 91913-1368
Mailing address
221 Donax Ave Unit 12
Imperial Beach, CA 91932-1938
Phone (847) 322-6254
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1801417704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 DONAX AVE UNIT 12",
"city": "IMPERIAL BEACH",
"state": "CA",
"postal_code": "919321938",
"telephone_number": "847-322-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 OTAY LAKES RD STE 102",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919131368",
"telephone_number": "619-289-9606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURATI",
"first_name": "JAY",
"middle_name": "N",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-01",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
- Sunny Path ABA LLC
- Sunshine Senior Care Services (HomeWell Care Services CA285)
- Supervista North America (brillen.com #024128)
- Supervista North America (brillen.com)
- Supreme Medical Transport Inc (Supreme Medical Transport)
- Surgery Center of California -LLC
- Carol M Surrey
- Susan J. Harris, Inc (Therapy Specialists)
- Diana Cabatac Susano
- Graham Sutherland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.