Individual provider Active NPI

Venus Firouzehee, PHARM. D. /MBA

  • Pharmacist
  • Los Alamitos, CA
National Provider Identifier
1174040760
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
76758 Issued in CA
Practice address
10525 Humbolt St
Los Alamitos, CA 90720-5401
Phone
(714) 455-1300
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Compounded Sterile Preparations Pharmacist 1835C0207X 76758 CA
Pharmacist 183500000X 76758 CA Primary

Addresses

Primary practice location

10525 Humbolt St
Los Alamitos, CA 90720-5401

Mailing address

10525 Humbolt St
Los Alamitos, CA 90720-5401
Phone (714) 455-1300

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Enterprises LLC PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1174040760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 HUMBOLT ST",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205401",
            "telephone_number": "714-455-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 HUMBOLT ST",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205401",
            "telephone_number": "714-455-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIROUZEHEE",
        "first_name": "VENUS",
        "credential": "PHARM. D. /MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0207X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Compounded Sterile Preparations",
            "state": "CA",
            "license": "76758",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "76758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.