Active NPI
Ashish K Mathew
- Pharmacist
- Los Banos, CA
National Provider Identifier
1497233589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78642
- Practice address
- 1575 W Pacheco Blvd
Los Banos, CA 93635-8505 - Phone
- (209) 826-9653
- NPI assigned
- Aug 1, 2018
- Sex
- Male
- 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 | 78642 | CA | Primary |
Addresses
Primary practice location
1575 W Pacheco Blvd
Los Banos, CA 93635-8505
Mailing address
1301 Canal Farm LN Apt 5B
Los Banos, CA 93635-3867
Phone (408) 784-4719
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1497233589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 CANAL FARM LN APT 5B",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936353867",
"telephone_number": "408-784-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 W PACHECO BLVD",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936358505",
"telephone_number": "209-826-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ASHISH",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.