Active NPI
Katayoun 0000 Rousta, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Irvine, CA
National Provider Identifier
1245385343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 49980
- Practice address
- 6300 Irvine Blvd
Irvine, CA 92620-2102 - Phone
- (949) 559-1139
- Fax
- (949) 559-1776
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 49980 | CA | Primary |
Addresses
Primary practice location
6300 Irvine Blvd
Irvine, CA 92620-2102
Mailing address
6300 Irvine Blvd
Irvine, CA 92620-2102
Phone (949) 559-1139
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49980 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Corona, CA
- NPI 1003831603
-
- Community/Retail Pharmacy
- Irvine, CA
- NPI 1225195571
-
- Community/Retail Pharmacy
- Pacoima, CA
- NPI 1982772711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1245385343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 IRVINE BLVD",
"city": "IRVINE",
"state": "CA",
"postal_code": "926202102",
"telephone_number": "949-559-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 IRVINE BLVD",
"city": "IRVINE",
"state": "CA",
"postal_code": "926202102",
"telephone_number": "949-559-1139",
"fax_number": "949-559-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSTA",
"first_name": "KATAYOUN",
"middle_name": "0000",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "49980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.