Individual provider Active NPI

Usama Alkazaki

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • El Cajon, CA
National Provider Identifier
1306194410
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
69696 Issued in CA
Practice address
505 N Mollison Ave
Suite 102
El Cajon, CA 92021-6159
Phone
(619) 457-0545
Fax
(619) 457-0535
NPI assigned
Aug 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S019805 AZ
Pharmacist 183500000X 10659 CA
Pharmacist 183500000X 69696 CA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 69696 CA Primary

Addresses

Primary practice location

505 N Mollison Ave
Suite 102
El Cajon, CA 92021-6159

Mailing address

1724 Horizon Heights Cir
El Cajon, CA 92019-1160
Phone (619) 457-0545

Other identifiers 1

IdentifierTypeStateIssuer
1306194410MedicaidCA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
S019805AZMDPharmacist
10659CAMDPharmacist
69696CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Help You Current Accepting new patients
Talami Health & Wellness, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Talami Health Care LLC PastSince Sep 27, 2018 Accepting new patients
Talami International Inc PastSince Jan 3, 2015 Accepting new patients

Locations

505 N Mollison Ave
Ste 102
El Cajon, CA 92021
Phone (619) 457-0545

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1306194410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 HORIZON HEIGHTS CIR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920191160",
            "telephone_number": "619-457-0545",
            "fax_number": "619-457-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MOLLISON AVE",
            "address_2": "SUITE 102",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920216159",
            "telephone_number": "619-457-0545",
            "fax_number": "619-457-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKAZAKI",
        "first_name": "USAMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-21",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S019805",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "10659",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "69696",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "69696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306194410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 17, 2024; 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.