Active NPI
Jon Barry Combes
- Pharmacist
- Cypress, CA
National Provider Identifier
1962777144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37349
- Practice address
- 5401 Katella Ave
Cypress, CA 90720-2809 - Phone
- (562) 668-5178
- Fax
- (562) 668-5175
- NPI assigned
- Mar 20, 2012
- Last updated
- Dec 4, 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 | 37349 | CA | Primary |
Addresses
Primary practice location
5401 Katella Ave
Cypress, CA 90720-2809
Mailing address
5401 Katella Ave
Cypress, CA 90720-2809
Phone (562) 668-5178
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 |
|---|---|---|---|
| 37349 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1962777144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 KATELLA AVE",
"city": "CYPRESS",
"state": "CA",
"postal_code": "907202809",
"telephone_number": "562-668-5178",
"fax_number": "562-668-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 KATELLA AVE",
"city": "CYPRESS",
"state": "CA",
"postal_code": "907202809",
"telephone_number": "562-668-5178",
"fax_number": "562-668-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBES",
"first_name": "JON",
"middle_name": "BARRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "37349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.