Individual provider Active NPI

Sami Danesh, PHARMD

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1245730332
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
69851 Issued in CA
Practice address
4840 Shawline St
San Diego, CA 92111-1400
Phone
(858) 268-7840
Fax
(858) 268-7876
NPI assigned
Feb 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69851 CA Primary

Addresses

Primary practice location

4840 Shawline St
San Diego, CA 92111-1400

Mailing address

4840 Shawline St
San Diego, CA 92111-1400
Phone (858) 268-7840

Other names 1

  • Mohammad Samiei Former 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
Credentials
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1245730332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 SHAWLINE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111400",
            "telephone_number": "858-268-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 SHAWLINE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111400",
            "telephone_number": "858-268-7840",
            "fax_number": "858-268-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESH",
        "first_name": "SAMI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "69851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "SAMIEI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.