Organization Active NPI

El Nudo, LLC

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1124699152
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EL NUDO, LLC
Practice address
4122 Sorrento Valley Blvd Ste 102
San Diego, CA 92121-1431
Phone
(858) 531-3151
NPI assigned
Jul 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Dr. Bijan Jamie Sabouri, PHARMDNPI 1790146173
Title
Pic/Owner
Phone
(858) 771-7791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4122 Sorrento Valley Blvd Ste 102
San Diego, CA 92121-1431

Mailing address

4122 Sorrento Valley Blvd Ste 102
San Diego, CA 92121-1431
Phone (858) 771-7791

Other names 1

  • Apri Fertility Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4122 Sorrento Valley Blvd
Ste 102
San Diego, CA 92121
Phone (858) 531-3151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1124699152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 SORRENTO VALLEY BLVD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211431",
            "telephone_number": "858-771-7791",
            "fax_number": "888-239-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 SORRENTO VALLEY BLVD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211431",
            "telephone_number": "858-531-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL NUDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "SABOURI",
        "authorized_official_first_name": "BIJAN",
        "authorized_official_middle_name": "JAMIE",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "858-771-7791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apri Fertility Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.