Active NPI
Brian Jonathan Ardebili, PHARMD
- Pharmacist
- Encino, CA
National Provider Identifier
1356087951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 84402
- Practice address
- 16461 Ventura Blvd
Encino, CA 91436-4368 - Phone
- (818) 986-2117
- NPI assigned
- May 7, 2022
- 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 | 84402 | CA | Primary |
Addresses
Primary practice location
16461 Ventura Blvd
Encino, CA 91436-4368
Mailing address
23693 Calabasas Rd Ste B
Calabasas, CA 91302-3467
Phone (818) 403-3072
Other practice location 1
23693 Calabasas Rd Ste B
Calabasas, CA 91302-3467
Phone (818) 403-3072
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
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KM Network Inc | Current | Accepting new patients | |
| Courtyard Clinic Inc. | Current | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Locations
23693 Calabasas Rd
Ste B
Calabasas, CA 91302
Phone (818) 403-3072
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.
-
- Family Medicine Physician
- Calabasas, CA
- NPI 1558904755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1356087951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23693 CALABASAS RD STE B",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913023467",
"telephone_number": "818-403-3072",
"fax_number": "818-356-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16461 VENTURA BLVD",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364368",
"telephone_number": "818-986-2117"
}
],
"practiceLocations": [
{
"address_1": "23693 Calabasas Rd Ste B",
"address_purpose": "LOCATION",
"city": "Calabasas",
"state": "CA",
"postal_code": "913023467",
"country_code": "US",
"telephone_number": "818-403-3072",
"fax_number": "818-356-8804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARDEBILI",
"first_name": "BRIAN",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-07",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "84402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.