IndividualActive
Jason Shan
NPI 1205248762 · Pharmacist · Riverside, CA
Jason Shan is a Pharmacist provider in Riverside, CA (NPI 1205248762).
Provider details
- NPI number
- 1205248762
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 69346 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11080 Magnolia Ave
Riverside, CA 92505-3047
Phone: (951) 602-4109
Street-level locationGet directions
Mailing address
3381 Falcon Ridge Rd
Diamond Bar, CA 91765-3822
Registry dates
- Enumerated
- 2014-06-02
- Last updated
- 2014-06-02
Frequently asked questions
- What is Jason Shan's NPI number?
- Jason Shan's National Provider Identifier (NPI) is 1205248762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Shan's specialty?
- Jason Shan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jason Shan located?
- Jason Shan's practice location on file with NPPES is 11080 Magnolia Ave, Riverside, CA 92505-3047.
- What is Jason Shan's phone number?
- The practice phone number listed in the NPPES registry for Jason Shan is (951) 602-4109.
- Is Jason Shan's NPI active?
- Yes — Jason Shan's NPI (1205248762) is active in the NPPES registry as of the last update on 2014-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.