Active NPI
Mona Elsayed
- Pharmacist
- Anaheim, CA
National Provider Identifier
1184375644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78262
- Practice address
- 1807 W Katella Ave Ste 206
Anaheim, CA 92804-6691 - Phone
- (714) 733-7978
- NPI assigned
- Jan 15, 2022
- Last updated
- Jan 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 78262 | CA | Primary |
Addresses
Primary practice location
1807 W Katella Ave Ste 206
Anaheim, CA 92804-6691
Mailing address
1807 W Katella Ave Ste 206
Anaheim, CA 92804-6691
Phone (714) 733-7978
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 |
|---|---|---|---|
| 78262 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blast Pharma Inc | Past | 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, 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": "1642204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642204800000",
"number": "1184375644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 W KATELLA AVE STE 206",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046691",
"telephone_number": "714-733-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 W KATELLA AVE STE 206",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046691",
"telephone_number": "714-733-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSAYED",
"first_name": "MONA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-15",
"last_updated": "2022-01-15",
"certification_date": "2022-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.