Individual provider Active NPI

Paul Mehdi Hamrah, PHARMACIST

  • Health Maintenance Organization
  • El Cajon, CA
National Provider Identifier
1285809467
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
48152 Issued in CA
Practice address
250 Travelodge Dr
El Cajon, CA 92020-4126
Phone
(619) 441-3149
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 48152 CA Primary

Addresses

Primary practice location

250 Travelodge Dr
El Cajon, CA 92020-4126

Mailing address

11824 Cypress Canyon Rd Unit 2
San Diego, CA 92131-5731
Phone (858) 337-7817

Other names 1

  • Mehdi Paul Hamrah Other 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

State licenses

LicenseStateTypeSpecialty
48152CAMDHealth Maintenance Organization

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1285809467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11824 CYPRESS CANYON RD UNIT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921315731",
            "telephone_number": "858-337-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 TRAVELODGE DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204126",
            "telephone_number": "619-441-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRAH",
        "first_name": "PAUL",
        "middle_name": "MEHDI",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "48152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEHDI",
            "last_name": "HAMRAH",
            "middle_name": "PAUL",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.