Active NPI
Jinshu Owens
- Surgical Physician Assistant
- Chino Hills, CA
National Provider Identifier
1881118735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 020993
- Practice address
- 15944 Los Serranos Country Club Dr Ste 110
Chino Hills, CA 91709-3254 - Phone
- (909) 606-8767
- Fax
- (909) 597-8681
- NPI assigned
- Aug 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA55599 | CA | |
| Surgical Physician Assistant | 363AS0400X | 020993 | NY | Primary |
Addresses
Primary practice location
15944 Los Serranos Country Club Dr Ste 110
Chino Hills, CA 91709-3254
Mailing address
15944 Los Serranos Country Club Dr Ste 110
Chino Hills, CA 91709-3254
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA55599 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1881118735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 110",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917093254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 110",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917093254",
"telephone_number": "909-606-8767",
"fax_number": "909-597-8681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "JINSHU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "PA55599",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "020993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.