Active NPI
Parisa Vatanka, PHARM.D.
- Pharmacist
- San Ramon, CA
National Provider Identifier
1073815965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46686
- Practice address
- 11050 Bollinger Canyon Rd
San Ramon, CA 94582-4959 - Phone
- (925) 359-2005
- Fax
- (925) 359-2006
- NPI assigned
- Nov 26, 2010
- Last updated
- Nov 26, 2010
- 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 | 46686 | CA | Primary |
Addresses
Primary practice location
11050 Bollinger Canyon Rd
San Ramon, CA 94582-4959
Mailing address
11050 Bollinger Canyon Rd
San Ramon, CA 94582-4959
Phone (925) 359-2005
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46686 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290729600000",
"number": "1073815965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11050 BOLLINGER CANYON RD",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945824959",
"telephone_number": "925-359-2005",
"fax_number": "925-359-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 BOLLINGER CANYON RD",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945824959",
"telephone_number": "925-359-2005",
"fax_number": "925-359-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VATANKA",
"first_name": "PARISA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-26",
"last_updated": "2010-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "46686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.