Active NPI
Ani Kaloghlian
- Pharmacist
- Cerritos, CA
National Provider Identifier
1396154357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71501
- Practice address
- 12900 Park Plaza Dr
Cerritos, CA 90703-9329 - Phone
- (800) 956-1235
- NPI assigned
- Aug 4, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 26583 | CA | |
| Pharmacist | 183500000X | 71501 | CA | Primary |
Addresses
Primary practice location
12900 Park Plaza Dr
Cerritos, CA 90703-9329
Mailing address
1141 N Howard St
Glendale, CA 91207-1746
Phone (818) 371-2500
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 |
|---|---|---|---|
| 71501 | CA | MD | Pharmacist |
| 26583 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1396154357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 N HOWARD ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912071746",
"telephone_number": "818-371-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 PARK PLAZA DR",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907039329",
"telephone_number": "800-956-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALOGHLIAN",
"first_name": "ANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "26583",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.