Active NPI
Lisa Naruo
- Pharmacist
- Fountain Valley, CA
National Provider Identifier
1366793440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48054
- Practice address
- 17900 Newhope St
Fountain Valley, CA 92708-5422 - Phone
- (714) 434-0344
- NPI assigned
- Sep 28, 2012
- Last updated
- Sep 28, 2012
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 48054 | CA | Primary |
Addresses
Primary practice location
17900 Newhope St
Fountain Valley, CA 92708-5422
Mailing address
PO Box 9684
Marina del Rey, CA 90295-2084
Phone (949) 362-8353
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 |
|---|---|---|---|
| 48054 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1366793440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9684",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902952084",
"telephone_number": "949-362-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17900 NEWHOPE ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085422",
"telephone_number": "714-434-0344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARUO",
"first_name": "LISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "48054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.