Individual provider Active NPI

Shirin Sobhanipour

  • Pharmacist
  • Gilroy, CA
National Provider Identifier
1295023356
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
55723 Issued in CA
Practice address
6705 Camino Arroyo
T-1851
Gilroy, CA 95020-7075
Phone
(408) 848-6941
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55723 CA Primary

Addresses

Primary practice location

6705 Camino Arroyo
T-1851
Gilroy, CA 95020-7075

Mailing address

6750 Camino Arroyo
T1851
Gilroy, CA 95020
Phone (408) 848-6941

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
55723CAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1295023356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 CAMINO ARROYO",
            "address_2": "T1851",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-848-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 CAMINO ARROYO",
            "address_2": "T-1851",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207075",
            "telephone_number": "408-848-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBHANIPOUR",
        "first_name": "SHIRIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.