Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Bustos Palomo

Individual provider Pharmacist · NPI 1356125397

Jason Bustos Palomo is a Pharmacist in San Rafael, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

99 Montecillo Rd
San Rafael, CA 94903-3308
Phone: (415) 444-2980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 87905 (CA)

Record details

NPI number1356125397
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 1, 2023
Mailing address29840 Saguaro St, Castaic, CA 91384-3574

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