Active NPI
Sierra May Kanetake
- Pharmacist
- San Diego, CA
National Provider Identifier
1396413415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH84233
- Practice address
- 550 Washington St Ste 100
San Diego, CA 92103-2227 - Phone
- (858) 964-1014
- NPI assigned
- Sep 2, 2021
- Sex
- Female
- 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 | RPH84233 | CA | Primary |
Addresses
Primary practice location
550 Washington St Ste 100
San Diego, CA 92103-2227
Mailing address
5055 73Rd St Apt 73
San Diego, CA 92115-1858
Phone (408) 656-6739
Other practice location 1
4060 4th Ave Ste 110
San Diego, CA 92103-2120
Phone (858) 964-1013
Other practice location 2
10710 N Torrey Pines Rd
LA Jolla, CA 92037-1035
Phone (858) 964-1011
Other practice location 3
310 Santa Fe Dr Ste 109
Encinitas, CA 92024-5124
Phone (858) 964-1012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH84233 | Other | CA | REGISTERED PHARMACIST LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kanetake.sierra@scrippshealth.org | Direct | Scripps Health |
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 |
|---|---|---|---|
| RPH84233 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1396413415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 73RD ST APT 73",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921151858",
"telephone_number": "408-656-6739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 WASHINGTON ST STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032227",
"telephone_number": "858-964-1014"
}
],
"practiceLocations": [
{
"address_1": "4060 4th Ave Ste 110",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921032120",
"country_code": "US",
"telephone_number": "858-964-1013",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10710 N Torrey Pines Rd",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371035",
"country_code": "US",
"telephone_number": "858-964-1011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 Santa Fe Dr Ste 109",
"address_purpose": "LOCATION",
"city": "Encinitas",
"state": "CA",
"postal_code": "920245124",
"country_code": "US",
"telephone_number": "858-964-1012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANETAKE",
"first_name": "SIERRA",
"middle_name": "MAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH84233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACIST LICENSE",
"identifier": "RPH84233",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kanetake.sierra@scrippshealth.org",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Scripps Health",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "550 Washington St Ste 100",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921032227",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.