Active NPI
Arnold M. Ladis
- Pharmacist
- San Diego, CA
National Provider Identifier
1164606802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24353
- Practice address
- 16634 Roca Dr
San Diego, CA 92128-2825 - Phone
- (858) 722-9682
- NPI assigned
- Dec 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24966 | NY | |
| Pharmacist | 183500000X | 24353 | CA | Primary |
Addresses
Primary practice location
16634 Roca Dr
San Diego, CA 92128-2825
Mailing address
16634 Roca Dr
San Diego, CA 92128-2825
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 |
|---|---|---|---|
| 24966 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1164606802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16634 ROCA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16634 ROCA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282825",
"telephone_number": "858-722-9682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADIS",
"first_name": "ARNOLD",
"middle_name": "M.",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "24966",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "24353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.