Individual provider Active NPI

Siamak Tehrani

  • Pharmacist
  • North Hollywood, CA
National Provider Identifier
1164942769
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH68798 Issued in CA
Practice address
6007 Lankershim Blvd Ste 7
North Hollywood, CA 91606-4883
Phone
(818) 763-7007
NPI assigned
Jun 23, 2017
Last updated
Jun 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH68798 CA Primary

Addresses

Primary practice location

6007 Lankershim Blvd Ste 7
North Hollywood, CA 91606-4883

Mailing address

10538 Eastborne Ave #204
Los Angeles, CA 90024
Phone (310) 773-2226

Other names 1

  • Dr. Siamak Tehrani Professional name

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

LicenseStateTypeSpecialty
RPH68798CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Miracle Care Pharmacy Inc Current Accepting new patients
Supreme Care Pharmacy, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1164942769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10538 EASTBORNE AVE #204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024",
            "telephone_number": "310-773-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 LANKERSHIM BLVD STE 7",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916064883",
            "telephone_number": "818-763-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANI",
        "first_name": "SIAMAK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH68798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIAMAK",
            "last_name": "TEHRANI",
            "prefix": "DR.",
            "credential": "PHARM.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.