Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACK MAEKAWA
NPI 1184531204
Student in an Organized Health Care Education/Training Program in Pomona, CA

Active since August 25, 2026
795 E 2ND ST, POMONA, CA 91766, POMONA, CA 91766(190) 962-3611 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jack Maekawa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK MAEKAWA (NPI 1184531204) is an individual student in an organized health care education/training program in Pomona, California and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1184531204
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK MAEKAWA
Location Address795 E 2ND ST, POMONA, CA 91766Pomona, CA 91766-2007
Mailing Address795 E 2nd St, Pomona, Ca 91766Pomona, CA 91766-2007 · (909) 623-6116
Sole ProprietorYes
Enumeration DateAugust 25, 2026
NPPES CertifiedAugust 13, 2026
NPI 1184531204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
795 E 2ND ST, POMONA, CA 91766, Pomona, CA 91766

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Maekawa's NPI number?

The NPI number for Jack Maekawa is 1184531204. It was assigned to this individual provider in the NPPES registry on August 25, 2026.

Where is Jack Maekawa located?

Jack Maekawa practices at 795 E 2nd St, Pomona, Ca 91766, Pomona, CA 91766. The listed phone number is (190) 962-3611.

What is Jack Maekawa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jack Maekawa was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.