Individual provider Active NPI

Pauline Darvish

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1144650474
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
70216 Issued in CA
Practice address
8540 S Sepulveda Blvd Ste 102
Los Angeles, CA 90045-3810
Phone
(310) 382-4220
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 70216 CA Primary

Addresses

Primary practice location

8540 S Sepulveda Blvd Ste 102
Los Angeles, CA 90045-3810

Mailing address

8540 S Sepulveda Blvd Ste 102
Los Angeles, CA 90045-3810
Phone (310) 382-4220

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

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1144650474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453810",
            "telephone_number": "310-382-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453810",
            "telephone_number": "310-382-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARVISH",
        "first_name": "PAULINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "70216",
            "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 Oct 15, 2020; 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.