Active NPI
Samar Aziz, RPH
- Pharmacist
- Ingelwood, CA
National Provider Identifier
1013293703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40026
- Practice address
- 721 S Glasgow Ave Suite C
Ingelwood, CA 90301 - Phone
- (310) 665-1131
- Fax
- (310) 665-1141
- NPI assigned
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40026 | CA | Primary |
Addresses
Primary practice location
721 S Glasgow Ave Suite C
Ingelwood, CA 90301
Mailing address
2625 Augusta Way
Tustin, CA 92782
Phone (714) 618-0435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA448650 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40026 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1013293703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 AUGUSTA WAY",
"city": "TUSTIN",
"state": "CA",
"postal_code": "92782",
"telephone_number": "714-618-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 S GLASGOW AVE SUITE C",
"city": "INGELWOOD",
"state": "CA",
"postal_code": "90301",
"telephone_number": "310-665-1131",
"fax_number": "310-665-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZIZ",
"first_name": "SAMAR",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "40026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA448650",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ingelwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.