Individual provider Active NPI

Roya Mostaan, RPH

  • Pharmacist
  • Valley Center, CA
National Provider Identifier
1346986536
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH58179 Issued in CA
Practice address
13268 Anthony Ridge Rd
Valley Center, CA 92082-5148
Phone
(949) 814-0645
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH58179 CA Primary

Addresses

Primary practice location

13268 Anthony Ridge Rd
Valley Center, CA 92082-5148

Mailing address

13268 Anthony Ridge Rd
Valley Center, CA 92082-5148
Phone (949) 813-0645

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH58179CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1346986536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13268 ANTHONY RIDGE RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825148",
            "telephone_number": "949-813-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13268 ANTHONY RIDGE RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825148",
            "telephone_number": "949-814-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAAN",
        "first_name": "ROYA",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH58179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.