Seid Amir Farzan Tavakkoli Isfahani, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

72910 Issued in CA

Practice address

12555 Garden Grove Blvd Ste 102
Garden Grove, CA 92843-1903

Phone

(714) 636-0593

Fax

(714) 636-7708

NPI assigned

Jun 27, 2018

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1255826665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD STE 102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431903",
            "telephone_number": "714-636-0593",
            "fax_number": "714-636-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD STE 102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431903",
            "telephone_number": "714-636-0593",
            "fax_number": "714-636-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAKKOLI ISFAHANI",
        "first_name": "SEID AMIR FARZAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "72910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tat Pharmacy, Inc
• Joann (Jody) Eileen Tate, M.S.,OTR/L
• Vanessa Denise Tatum, M.D.
• Murray Taubman, O.D.
• Mearedey Tauch
• Mariam Tawfik
• Bonita Taylor
• Chiara Chanel Taylor
• Imari Taylor
• Jeffrey David Taylor, DDS

• Pharmacist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.