Individual provider Active NPI

Charisma Maria Coleto Urbiztondo, PHARMD

  • Pharmacist
  • Cerritos, CA
National Provider Identifier
1497266423
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
74943 Issued in CA
Practice address
16620 Alora Ave
Cerritos, CA 90703-1603
Phone
(562) 787-4340
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 74943 CA Primary

Addresses

Primary practice location

16620 Alora Ave
Cerritos, CA 90703-1603

Mailing address

16620 Alora Ave
Cerritos, CA 90703-1603
Phone (562) 787-4340

Other names 1

  • Charisma Urbiztondo Other name

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

LicenseStateTypeSpecialty
74943CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1497266423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 ALORA AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031603",
            "telephone_number": "562-787-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 ALORA AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031603",
            "telephone_number": "562-787-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBIZTONDO",
        "first_name": "CHARISMA MARIA",
        "middle_name": "COLETO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "74943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARISMA",
            "last_name": "URBIZTONDO",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.