Abdulla Nooristani

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

59330 Issued in CA

Practice address

3630 Business Dr Ste D
Sacramento, CA 95820-2179

Phone

(916) 452-8022

NPI assigned

May 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evergreen Pharmaceutical of California, LLC

  dba Omnicare of Santa Rosa #48218

  • Long Term Care Pharmacy
  • Santa Rosa, CA
  • NPI 1013026608
  NPD (past)

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1205457918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 BUSINESS DR STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202179",
            "telephone_number": "916-452-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 BUSINESS DR STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202179",
            "telephone_number": "916-452-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORISTANI",
        "first_name": "ABDULLA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "CA",
            "license": "59330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abdulla.nooristani@omnicare.com",
            "affiliation": "N",
            "address_1": "3630 Business Dr",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958202163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abdulla.nooristani@omnicare.com",
            "affiliation": "N",
            "address_1": "3630 Business Dr",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958202163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abdulla.nooristani@omnicare.com",
            "affiliation": "N",
            "address_1": "3630 Business Dr",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958202163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abdulla.nooristani@omnicare.com",
            "affiliation": "N",
            "address_1": "3630 Business Dr",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958202163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clark Noonan, LMFT
• Noor Home Healthcare Services Corp.
• Aiesha Noori, N/A
• Neelofar Noori, NP
• Qasem M. Noori, MD
• Zainab Noorsher
• Janice M. Noort, NP
• Nor-Cal Infuison, Inc.
• Jasmine Norberg
• Kristen Norberg, OTR/L

• Psychiatric Pharmacist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychiatric Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.