Active NPI
Keshvar Amirgholizadeh
- Pharmacist
- Irvine, CA
National Provider Identifier
1205074507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44044
- Practice address
- 4250 Barranca Pkwy Ste F
Irvine, CA 92604-1731 - Phone
- (949) 552-3111
- NPI assigned
- Jan 26, 2009
- Last updated
- Apr 9, 2015
- 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 | 44044 | CA | Primary |
Addresses
Primary practice location
4250 Barranca Pkwy Ste F
Irvine, CA 92604-1731
Mailing address
3 Montanas Este
Irvine, CA 92612-2607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHE435930 | Medicaid | CA |
Other names 1
- Keshvar Amirgholizadeh Zeinali
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 |
|---|---|---|---|
| 44044 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K & Z, 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": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1205074507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MONTANAS ESTE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 BARRANCA PKWY STE F",
"city": "IRVINE",
"state": "CA",
"postal_code": "926041731",
"telephone_number": "949-552-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIRGHOLIZADEH",
"first_name": "KESHVAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-26",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "44044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHE435930",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KESHVAR",
"last_name": "ZEINALI",
"middle_name": "AMIRGHOLIZADEH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.