Active NPI
Chaza A Naddour
- Pharmacist
- San Diego, CA
National Provider Identifier
1538475512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61562
- Practice address
- 3650 Adams Ave
San Diego, CA 92116 - Phone
- (619) 563-0802
- NPI assigned
- Aug 27, 2010
- Last updated
- Aug 27, 2010
- 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 | 61562 | CA | Primary |
Addresses
Primary practice location
3650 Adams Ave
San Diego, CA 92116
Mailing address
6532 Reflection Dr
2152
San Diego, CA 92124
Phone (619) 563-7600
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 |
|---|---|---|---|
| 61562 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1538475512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6532 REFLECTION DR",
"address_2": "2152",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92124",
"telephone_number": "619-563-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 ADAMS AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92116",
"telephone_number": "619-563-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADDOUR",
"first_name": "CHAZA",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.