Active NPI
Carolyn Nosrat
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1134983604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57429
- Practice address
- 200 S Barrington Ave Unit 49329
Los Angeles, CA 90049-7935 - Phone
- (310) 490-3010
- NPI assigned
- Feb 6, 2024
- Last updated
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 57429 | CA | Primary |
Addresses
Primary practice location
200 S Barrington Ave Unit 49329
Los Angeles, CA 90049-7935
Mailing address
PO Box 49329
Los Angeles, CA 90049-0329
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
| License | State | Type | Specialty |
|---|---|---|---|
| 57429 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1134983604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 49329",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900490329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S BARRINGTON AVE UNIT 49329",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900497935",
"telephone_number": "310-490-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSRAT",
"first_name": "CAROLYN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.