Organization Active NPI

Fusion IV Pharmaceuticals Inc.

  • Home Infusion Therapy Pharmacy
  • Los Angeles, CA
National Provider Identifier
1346628047
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
LSC100855 Issued in CA
Legal business name
FUSION IV PHARMACEUTICALS INC.
Practice address
1990 Westwood Blvd # 135
Los Angeles, CA 90025-4650
Phone
(877) 685-8222
Fax
(866) 711-3106
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Dr. Navid Vahedi, PHARM D
Title
Owner/President
Phone
(877) 685-8222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X PHY53726 CA
Home Infusion Therapy Pharmacy 3336H0001X LSC100855 CA Primary

Addresses

Primary practice location

1990 Westwood Blvd # 135
Los Angeles, CA 90025-4650

Mailing address

1990 Westwood Blvd # 135
Los Angeles, CA 90025-4650
Phone (877) 685-8222

Other names 1

  • Axia Pharmaceutical Doing business as

National Provider Directory

National Provider Directory

Locations

1990 Westwood Blvd
Ste 135
Los Angeles, CA 90025
Phone 3109064366213

10586 W Pico Blvd
#140
Los Angeles, CA 90064

1990 Westwood Blvd
#135
Los Angeles, CA 90025
Phone (877) 685-8222

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1346628047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 WESTWOOD BLVD # 135",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254650",
            "telephone_number": "877-685-8222",
            "fax_number": "866-711-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WESTWOOD BLVD # 135",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254650",
            "telephone_number": "877-685-8222",
            "fax_number": "866-711-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION IV PHARMACEUTICALS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "VAHEDI",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "877-685-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY53726",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "LSC100855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axia Pharmaceutical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.