Mehrdad Ahdoot, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

43292 Issued in CA

Practice address

9196 Crocus Ave
Fountain Valley, CA 92708-1435

Phone

(714) 227-4343

NPI assigned

Nov 19, 2012

Last updated

Nov 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1235473935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9196 CROCUS AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081435",
            "telephone_number": "714-227-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9196 CROCUS AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081435",
            "telephone_number": "714-227-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHDOOT",
        "first_name": "MEHRDAD",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "43292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cosette Lucille Aguayo
• Claudia V Aguilar, MASSAGE THERAPIST
• Thelma Aguilar
• Janelle Penalosa Agustin, PHARMD
• Bernadette Ah-Hing, O.T.
• Narjes Ahmadi
• Ahmed Alsadek, MD Inc.
• Zavier Shawkat Ahmed, M.D.
• Amy Ahn, OTR/L
• Ai Huang, D.M.D., Inc. (Aicare Orthodontics)

• Pharmacist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.