Individual provider Active NPI

Ali Shishehgar

  • Pharmacist
  • Orange, CA
National Provider Identifier
1013514314
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
65874 Issued in CA
Practice address
132 S Anita Dr Ste 310
Orange, CA 92868-3317
Phone
(877) 778-3773
NPI assigned
Oct 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 65874 CA Primary

Addresses

Primary practice location

132 S Anita Dr Ste 310
Orange, CA 92868-3317

Mailing address

132 S Anita Dr Ste 310
Orange, CA 92868-3317
Phone (877) 778-3773

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

State licenses

LicenseStateTypeSpecialty
65874CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harper's Pharmacy Inc. CurrentSince Jun 16, 2024 Accepting new patients

Locations

132 S Anita Dr
Ste 310
Orange, CA 92868
Phone (877) 778-0318

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1013514314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S ANITA DR STE 310",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683317",
            "telephone_number": "877-778-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S ANITA DR STE 310",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683317",
            "telephone_number": "877-778-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHISHEHGAR",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "65874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.