Active NPI
Fauzia Ahsan Waheed
- Pharmacist
- Los Gatos, CA
National Provider Identifier
1407136153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55965
- Practice address
- 423 N Santa Cruz Ave
Los Gatos, CA 95030-5320 - Phone
- (408) 354-8029
- NPI assigned
- Aug 26, 2011
- Last updated
- Jan 27, 2012
- 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 | 55965 | CA | Primary |
Addresses
Primary practice location
423 N Santa Cruz Ave
Los Gatos, CA 95030-5320
Mailing address
423 N Santa Cruz Ave
Los Gatos, CA 95030-5320
Phone (408) 354-8029
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 |
|---|---|---|---|
| 55965 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1407136153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 N SANTA CRUZ AVE",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950305320",
"telephone_number": "408-354-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 N SANTA CRUZ AVE",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950305320",
"telephone_number": "408-354-8029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHEED",
"first_name": "FAUZIA",
"middle_name": "AHSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-26",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.