JASON ANDREW COLVIN (NPI# 1679813943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679813943 |
| Entity Type | Individual |
| Full Name | JASON ANDREW COLVIN |
| Credential | RPH |
| Practice Address |
6100 Sepulveda Blvd Van Nuys CA 91411-2503 |
| Mailing Address |
3915 Poppyseed Pl Calabasas CA 91302-2947 |
| Practice Telephone | 8189895158 |
| Mailing Telephone | 8188571696 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2016-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 67867 | CA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
67867 | CA | Pharmacy Service Providers |
| Street Address |
6100 SEPULVEDA BLVD |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91411-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821067505 | Nancy Park Wu | Optometrist | 6100 Sepulveda Blvd, Van Nuys, CA 91411-2503 | 2006-03-16 |
| 1114446838 | Alina Okunyan | Pharmacist | 6100 Sepulveda Blvd, Van Nuys, CA 91411-2503 | 2017-09-13 |
| 1457800757 | Izabella Abramyan | Pharmacist | 6100 Sepulveda Blvd, Van Nuys, CA 91411-2503 | 2016-09-27 |
| 1316330947 | Costco Wholesale Corporation | Hearing Aid Equipment | 6100 Sepulveda Blvd, Van Nuys, CA 91411-2503 | 2015-03-06 |
| 1013306950 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 6100 Sepulveda Blvd, Van Nuys, CA 91411-2503 | 2015-01-15 |
| 1740628999 | Jason Robert Lebowitz | Pharmacist | 6100 Sepulveda Blvd, Van Nuys, CA 91411-2503 | 2013-06-10 |
| 1568805349 | Michael Khoury Od Inc | Optometrist | 6100 Sepulveda Blvd, Van Nuys, CA 91411-2503 | 2013-04-11 |
| 1740566090 | Harrison Chang | Pharmacist | 6100 Sepulveda Blvd, Van Nuys, CA 91411-2503 | 2011-11-01 |
| 1649336256 | Michael B Khoury | Optometrist | 6100 Sepulveda Blvd, Van Nuys, CA 91411-2503 | 2006-12-28 |
| 1104936707 | Costco Wholesale Corporation | Pharmacy | 6100 Sepulveda Blvd, Van Nuys, CA 91411 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517085 | Full Heart Hospice and Palliative Care Inc | Hospice Care, Community Based | 14543 Friar Street, Ste. 102, Van Nuys, CA 91411 | 2020-10-29 |
| 1639632078 | Primary Care Homehealthcare Inc | Home Health | 14545 Friar Street, Suite 203-2, Van Nuys, CA 91411 | 2019-04-11 |
| 1639639800 | Jacklynne Marder | Counselor | 5900 Sepulveda Bld., Sherman Oaks, CA 91411 | 2019-03-22 |
| 1710478581 | Adriana Abraamyan | Rehabilitation Practitioner | 14515 Hamlin St Ste 103, Van Nuys, CA 91411 | 2018-05-28 |
| 1154820595 | Sls Home Health Inc. | Hospice Care, Community Based | 6411 Sepulveda Blvd Ste 1d, Van Nuys, CA 91411 | 2018-02-11 |
| 1376073197 | Age Well Congregate Living, Inc | Hospice Care, Community Based | 15149 Sylvan Street, Van Nuys, CA 91411 | 2017-06-14 |
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1740732023 | Behavior Trend | Behavioral Analyst | 5658 Sepulveda Blvd Ste 200, Sherman Oaks, CA 91411 | 2016-11-02 |
| 1851764682 | Deft Solutions | Clinic/Center | 15128 Burbank Blvd, 210, Sberman Oaks, CA 91411 | 2015-11-02 |
| 1417332941 | Marianna Mirakyan | Behavioral Analyst | 14980 Victory Blvd #202, Van Nuys, CA 91411 | 2015-07-27 |
| Find all providers in zip 91411 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033423256 | Christine Arshaluys Gabrielian | Pharmacist | 13458 Vanowen St Apt 9, Van Nuys, CA 91405-4351 | 2010-07-29 |
| 1760004378 | Loree Vartee Karkodorian | Pharmacist | 13745 Victory Blvd, Van Nuys, CA 91401-2348 | 2020-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.