Active NPI
Anand Jethva
- Pharmacist
- Norwalk, CA
National Provider Identifier
1285850800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 50334
- Practice address
- 11818 Rosecrans Ave # a
Norwalk, CA 90650-4101 - Phone
- (562) 462-1715
- Fax
- (562) 462-1731
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 50334 | CA | Primary |
Addresses
Primary practice location
11818 Rosecrans Ave # a
Norwalk, CA 90650-4101
Mailing address
406 S Bella Vista St
Anaheim, CA 92804-2706
Phone (714) 767-2851
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 50334 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285850800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 S BELLA VISTA ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042706",
"telephone_number": "714-767-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11818 ROSECRANS AVE # A",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504101",
"telephone_number": "562-462-1715",
"fax_number": "562-462-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETHVA",
"first_name": "ANAND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 50334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.