Individual provider Active NPI

Jason Jang

  • Pharmacist
  • Simi Valley, CA
National Provider Identifier
1851902589
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
89857 Issued in CA
Practice address
453 White Bark LN
Simi Valley, CA 93065-4994
Phone
(805) 616-0462
NPI assigned
Aug 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 89857 CA Primary

Addresses

Primary practice location

453 White Bark LN
Simi Valley, CA 93065-4994

Mailing address

453 White Bark LN
Simi Valley, CA 93065-4994
Phone (805) 616-0462

Other practice location 1

9090 Wilshire Blvd
Beverly Hills, CA 90211-1848
Phone (310) 888-8680

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

State licenses

LicenseStateTypeSpecialty
89857CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Southern California School of Pharmacy PastSince Aug 1, 2020 Accepting new patients

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": "1597449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1851902589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 WHITE BARK LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654994",
            "telephone_number": "805-616-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 WHITE BARK LN",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654994",
            "telephone_number": "805-616-0462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9090 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111848",
            "country_code": "US",
            "telephone_number": "310-888-8680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANG",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-15",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "89857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.