Deema Soufi Massalkhi

Primary specialty

PharmacistTaxonomy code 183500000X

License

82644 Issued in CA

Practice address

1240 Broadway
Chula Vista, CA 91911-2911

Phone

(619) 213-0000

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1194339002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14724 PENASQUITOS DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291511",
            "telephone_number": "858-207-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BROADWAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112911",
            "telephone_number": "619-213-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSALKHI",
        "first_name": "DEEMA",
        "middle_name": "SOUFI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
            "identifier": "82644",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CVS",
            "affiliation": "Y",
            "endpointDescription": "CVS",
            "affiliationName": "CVS Pharmacy, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 W Slaughter Ln",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787481661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Efrain Mascareno, O.D.
• Kara J Mase, M.S., CCC-SLP
• Joshua Masillamoni, D.D.S.
• Jessica Shanshan Maslin, M.D.
• Wendy Lee Mason, LVN
• Safoura Massoumi, DDS PEDIATRIC DENTIS
• Andrew James Masters, PT, DPT
• Cari Mata
• Lauren Mata
• Kristen Laurel Mateo

• Pharmacist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.