Active NPI
Shahnaz Kiani
- Pharmacist
- Pleasanton, CA
National Provider Identifier
1508079021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40749
- Practice address
- 1077 Gray Fox Cir
Pleasanton, CA 94566-6969 - Phone
- (925) 462-6537
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40749 | CA | Primary |
| Geriatric Pharmacist | 1835G0303X | 848 | CA | |
| Pharmacotherapy Pharmacist | 1835P1200X | 5204 | CA |
Addresses
Primary practice location
1077 Gray Fox Cir
Pleasanton, CA 94566-6969
Mailing address
1077 Gray Fox Cir
Pleasanton, CA 94566-6969
Phone (925) 462-6537
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 |
|---|---|---|---|
| 40749 | CA | MD | Dentist |
| 848 | CA | MD | Occupational Therapy Assistant |
| 5204 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1508079021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 GRAY FOX CIR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666969",
"telephone_number": "925-462-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 GRAY FOX CIR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666969",
"telephone_number": "925-462-6537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIANI",
"first_name": "SHAHNAZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "40749",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "848",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "5204",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.