Angela Ataya
Individual provider Active NPI Pharmacist · Coronado, CA
NPI 1265038145 · NPPES record last updated Dec 7, 2020
Key facts
- NPI
- 1265038145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 83369 (CA)
- Practice address
- 925 Orange Ave
Coronado, CA 92118-2609 - Phone
- (619) 435-6354
- NPI assigned
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83369 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
925 Orange Ave
San Diego, CA 92118
Phone (619) 435-6354
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83369 | CA | Yes |
Addresses
Primary practice location
925 Orange Ave
Coronado, CA 92118-2609
Mailing address
925 Orange Ave
Coronado, CA 92118-2609
Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.