Individual provider Active NPI

David Jacob Ahoobim, PHARMD, MBA

  • Pharmacist
  • Tarzana, CA
National Provider Identifier
1134500523
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
71494 Issued in CA
Practice address
18518 Linnet St
Tarzana, CA 91356-4132
Phone
(818) 359-4887
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 71494 CA Primary

Addresses

Primary practice location

18518 Linnet St
Tarzana, CA 91356-4132

Mailing address

18518 Linnet St
Tarzana, CA 91356-4132
Phone (818) 359-4887

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
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
71494CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1134500523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18518 LINNET ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564132",
            "telephone_number": "818-359-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18518 LINNET ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564132",
            "telephone_number": "818-359-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHOOBIM",
        "first_name": "DAVID",
        "middle_name": "JACOB",
        "credential": "PHARMD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.