Individual provider Active NPI

Mahiyar Arjomand, PHARMD

  • Pharmacist
  • Marina del Rey, CA
National Provider Identifier
1013408186
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202010349 Issued in VA
Practice address
4558 Admiralty Way
Marina del Rey, CA 90292-5417
Phone
(310) 823-5311
Fax
(310) 577-7562
NPI assigned
May 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0202010349 VA
Pharmacotherapy Pharmacist 1835P1200X 0202010349 VA
Ambulatory Care Pharmacist 1835P2201X 0202010349 VA
Pharmacist 183500000X 0202010349 VA Primary

Addresses

Primary practice location

4558 Admiralty Way
Marina del Rey, CA 90292-5417

Mailing address

4558 Admiralty Way
Marina del Rey, CA 90292-5417
Phone (310) 823-5311

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202010349VAMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaster Consultants Current Accepting new patients

Locations

4558 Admiralty Way
Marina del Rey, CA 90292
Phone (310) 823-5311

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1013408186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4558 ADMIRALTY WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925417",
            "telephone_number": "310-823-5311",
            "fax_number": "310-577-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4558 ADMIRALTY WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925417",
            "telephone_number": "310-823-5311",
            "fax_number": "310-577-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARJOMAND",
        "first_name": "MAHIYAR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "VA",
            "license": "0202010349",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VA",
            "license": "0202010349",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "VA",
            "license": "0202010349",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202010349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.