Active NPI
Fadi Atiya
- Pharmacist
- San Diego, CA
National Provider Identifier
1588068696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45978
- Practice address
- 1270 University Ave
San Diego, CA 92103-3312 - Phone
- (858) 381-7372
- NPI assigned
- Oct 17, 2014
- Last updated
- Oct 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 45978 | CA | Primary |
Addresses
Primary practice location
1270 University Ave
San Diego, CA 92103-3312
Mailing address
13127 Caminito Mendiola
San Diego, CA 92130-6961
Phone (858) 381-7372
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 |
|---|---|---|---|
| 45978 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1588068696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13127 CAMINITO MENDIOLA",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921306961",
"telephone_number": "858-381-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 UNIVERSITY AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033312",
"telephone_number": "858-381-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATIYA",
"first_name": "FADI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45978",
"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 Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.