Individual provider Active NPI

Keshvar Amirgholizadeh

  • Pharmacist
  • Irvine, CA
National Provider Identifier
1205074507
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44044 Issued in CA
Practice address
4250 Barranca Pkwy Ste F
Irvine, CA 92604-1731
Phone
(949) 552-3111
NPI assigned
Jan 26, 2009
Last updated
Apr 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHE435930MedicaidCA

Other names 1

  • Keshvar Amirgholizadeh Zeinali Other name

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

LicenseStateTypeSpecialty
44044CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.