Active NPI
Susan Mikhaela Jalalian
- Geriatric Pharmacist
- Palo Alto, CA
National Provider Identifier
1366601577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 41577
- Practice address
- 2914 Sandra PL
Palo Alto, CA 94303-4015 - Phone
- (650) 219-7697
- Fax
- (650) 251-9298
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 41577 | CA | Primary |
Addresses
Primary practice location
2914 Sandra PL
Palo Alto, CA 94303-4015
Mailing address
2914 Sandra PL
Palo Alto, CA 94303-4015
Phone (650) 219-7697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41577 | Other | CA | PHARMACIST LICENSE NBR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41577 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1366601577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2914 SANDRA PL",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943034015",
"telephone_number": "650-219-7697",
"fax_number": "650-251-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2914 SANDRA PL",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943034015",
"telephone_number": "650-219-7697",
"fax_number": "650-251-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JALALIAN",
"first_name": "SUSAN",
"middle_name": "MIKHAELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "41577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NBR",
"identifier": "41577",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.