Active NPI
Saul Jehiel Diamond, RPH, PHARMD.
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1194025247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38327
- Practice address
- 2785 Yulupa Ave
Santa Rosa, CA 95405-8584 - Phone
- (707) 524-4648
- Fax
- (707) 524-4651
- NPI assigned
- Oct 22, 2010
- Last updated
- Oct 22, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 38327 | CA | Primary |
Addresses
Primary practice location
2785 Yulupa Ave
Santa Rosa, CA 95405-8584
Mailing address
2785 Yulupa Ave
Santa Rosa, CA 95405-8584
Phone (707) 524-4648
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38327 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway 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": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1194025247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2785 YULUPA AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954058584",
"telephone_number": "707-524-4648",
"fax_number": "707-524-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2785 YULUPA AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954058584",
"telephone_number": "707-524-4648",
"fax_number": "707-524-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "SAUL",
"middle_name": "JEHIEL",
"name_prefix": "Dr.",
"credential": "RPH, PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-22",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "38327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.