Keerati Bae, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

86886 Issued in CA

Practice address

7755 Amestoy Ave
Van Nuys, CA 91406-2112

Phone

(818) 621-5560

NPI assigned

Oct 31, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Keerati Asawalapsakun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1265149355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 AMESTOY AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062112",
            "telephone_number": "818-621-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 AMESTOY AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914062112",
            "telephone_number": "818-621-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAE",
        "first_name": "KEERATI",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "86886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEERATI",
            "last_name": "ASAWALAPSAKUN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Nisman Bacquet, D.D.S.
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• Jung S Bae
• Jocelyn Baez
• Izabella Bagdasarian, LCSW
• Tenny Baghdasari Chalian
• Serani Baghdasarian
• Gaby Genesis Bahena

• Pharmacist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.