Shideh Ataii, PHARM.D.
Individual provider Active NPI Pharmacist · Martinez, CA
NPI 1124463567 · NPPES record last updated Apr 29, 2013
Key facts
- NPI
- 1124463567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 46107 (CA)
- Practice address
- 2500 Alhambra Ave
Contra Costa Regional Medical Center
Martinez, CA 94553-3156 - Phone
- (925) 370-5601
- Fax
- (925) 370-5251
- NPI assigned
- Apr 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11186 | NV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11186 | NV | |
| Pharmacist | 183500000X | 46107 | CA | Yes |
Addresses
Primary practice location
2500 Alhambra Ave
Contra Costa Regional Medical Center
Martinez, CA 94553-3156
Mailing address
79 Tuscany Way
Danville, CA 94506-4669
Phone (925) 370-5601
Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.