Active NPI
Danielle Dishmon, PHARMD
- Pharmacist
- Santa Monica, CA
National Provider Identifier
1497021661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65475
- Practice address
- 427 San Vicente Blvd
Unit D
Santa Monica, CA 90402-1734 - Phone
- (602) 206-9339
- NPI assigned
- Mar 31, 2012
- Last updated
- Mar 31, 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 | 65475 | CA | Primary |
Addresses
Primary practice location
427 San Vicente Blvd
Unit D
Santa Monica, CA 90402-1734
Mailing address
427 San Vicente Blvd
Unit D
Santa Monica, CA 90402-1734
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 |
|---|---|---|---|
| 65475 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333152000000",
"number": "1497021661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 SAN VICENTE BLVD",
"address_2": "UNIT D",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904021734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 SAN VICENTE BLVD",
"address_2": "UNIT D",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904021734",
"telephone_number": "602-206-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISHMON",
"first_name": "DANIELLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-31",
"last_updated": "2012-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.