Active NPI
Daniel Jardin
- Pharmacist
- Pleasanton, CA
National Provider Identifier
1912319021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35483
- Practice address
- 5420 Sunol Blvd Ste 1
Pleasanton, CA 94566-7701 - Phone
- (925) 846-7944
- NPI assigned
- May 22, 2014
- Last updated
- May 27, 2014
- 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 | 35483 | CA | Primary |
Addresses
Primary practice location
5420 Sunol Blvd Ste 1
Pleasanton, CA 94566-7701
Mailing address
7535 Olive Dr
Pleasanton, CA 94588-4845
Phone (925) 918-1363
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35483 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1912319021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7535 OLIVE DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884845",
"telephone_number": "925-918-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 SUNOL BLVD STE 1",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945667701",
"telephone_number": "925-846-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARDIN",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-22",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "35483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.