JASEN CONG (NPI# 1740612670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740612670 |
| Entity Type | Individual |
| Full Name | JASEN CONG |
| Credential | PHARM.D. |
| Practice Address |
117 E Live Oak Ave Suite 202 Arcadia CA 91006-5269 |
| Practice Telephone | 5092472222 |
| Mailing Telephone | 5092472222 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2014-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 70549 | CA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PH60373244 | WA | Pharmacy Service Providers |
| Street Address |
117 E LIVE OAK AVE SUITE 202 |
| City | ARCADIA |
| State | CA |
| Zip Code | 91006-5269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228909 | Peter Xuepeng Tan | Internal Medicine | 117 E Live Oak Ave, Suite 101, Arcadia, CA 91006-5269 | 2005-07-14 |
| 1164820502 | Philip Thi | Pharmacist | 117 E Live Oak Ave, Suite #201, Arcadia, CA 91006-5269 | 2014-12-17 |
| 1932548476 | Regina Bondoc | Pharmacist | 117 E Live Oak Ave, Arcadia, CA 91006-5269 | 2013-06-18 |
| 1801235379 | Jennifer Abraham | Pharmacist | 117 E Live Oak Ave, Arcadia, CA 91006-5269 | 2013-06-18 |
| 1891942611 | John Li | Acupuncturist | 117 E Live Oak Ave, Suite 100, Arcadia, CA 91006-0000 | 2008-08-22 |
| 1154509131 | Darrell L Wong | Family Medicine | 117 E Live Oak Ave, Suite 101, Arcadia, CA 91006-5269 | 2008-02-01 |
| 1689748097 | David Wesley Simmons | Chiropractor | 117 E Live Oak Ave, Suite 203, Arcadia, CA 91006-5269 | 2006-11-17 |
| 1760552368 | Huey-ing Liu | Physical Therapist | 117 E Live Oak Ave, Suite 101, Arcadia, CA 91006-5269 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225510696 | Sheri Shanese Calhoun | Social Worker | 330 E. Live Oak Avenue, Arcadia, CA 91006 | 2018-09-03 |
| 1083129639 | Song Han | Acupuncturist | 14 El Dorado Street, Suite 15, Arcadia, CA 91006 | 2017-12-05 |
| 1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
| 1881146512 | Mitchell Gee | Pharmacist | 2124 Highland Oaks Dr, Arcadia, CA 91006 | 2016-10-28 |
| 1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
| 1639525983 | Alex Yu | Chiropractor | 202 S. First Ave, Arcadia, CA 91006 | 2016-05-05 |
| 1447637731 | Angel Care Hospice of Arcadia, Inc. | Respite Care | 4115 E Live Oak Ave, Arcadia, CA 91006 | 2015-05-06 |
| 1588050678 | Joel Lim | Internal Medicine | 440 E Huntington Dr Ste 200, Arcadia, CA 91006 | 2015-04-15 |
| 1427497981 | White Wings Hospice Inc | Hospice Care, Community Based | 333 N Santa Anita Ave Ste 5, Arcadia, CA 91006 | 2013-06-18 |
| 1649511551 | Margaret Lihani | Social Worker | 41 E. Foothill Blvd., Suite 200-a, Arcadia, CA 91006 | 2013-03-04 |
| Find all providers in zip 91006 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184261 | Tiffany Huynh | Pharmacist | 4303 Lynd Ave, Arcadia, CA 91006-5838 | 2020-08-16 |
| 1427684224 | Vivian Tran | Pharmacist | 243 W Camino Real Ave, Arcadia, CA 91007-6904 | 2020-03-12 |
| 1326691221 | Taryn Lyz Go | Pharmacist | 1343 Oakwood Dr, Arcadia, CA 91006-2413 | 2019-07-19 |
| 1336604974 | Frank Ch Chen | Pharmacist | 512 San Luis Rey Rd, Arcadia, CA 91007-2735 | 2019-02-07 |
| 1720557762 | Stephen Lee | Pharmacist | 117 E Live Oak Ave Ste 101, Arcadia, CA 91006-5271 | 2018-11-20 |
| 1720590458 | Shokoofeh Namiranian | Pharmacist | 745 E. Naomi Ave, Arcadia, CA 91007 | 2017-11-03 |
| 1508392739 | Tiffany Wong | Pharmacist | 23 W Norman Ave, Arcadia, CA 91007-8036 | 2017-05-09 |
| 1720525868 | Craig Arakaki | Pharmacist | 1308 S 8th Ave, Arcadia, CA 91006-4458 | 2017-01-27 |
| 1881146512 | Mitchell Gee | Pharmacist | 2124 Highland Oaks Dr, Arcadia, CA 91006 | 2016-10-28 |
| 1225409113 | Lan T Thai | Pharmacist | 2812 Holly Ave, Arcadia, CA 91007-8465 | 2015-10-17 |
| Find all providers in ARCADIA | ||||
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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.