Active NPI
Tadeh Patrick Isayan, PHARMD
- Pharmacist
- Alhambra, CA
National Provider Identifier
1417705286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89425
- Practice address
- 2532 W Valley Blvd
Alhambra, CA 91803-1934 - Phone
- (818) 731-9998
- NPI assigned
- May 8, 2024
- Sex
- Male
- 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 | 89425 | CA | Primary |
Addresses
Primary practice location
2532 W Valley Blvd
Alhambra, CA 91803-1934
Mailing address
8444 Day St
Sunland, CA 91040-3253
Phone (818) 731-9998
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89425 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1417705286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8444 DAY ST",
"city": "SUNLAND",
"state": "CA",
"postal_code": "910403253",
"telephone_number": "818-731-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2532 W VALLEY BLVD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918031934",
"telephone_number": "818-731-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAYAN",
"first_name": "TADEH",
"middle_name": "PATRICK",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "89425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.