Active NPI
Sohail Khodabakhshi, PHARM.D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1629423348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72878
- Practice address
- 747 Westwood Plaza
Los Angeles, CA 90095 - Phone
- (310) 267-8500
- NPI assigned
- May 2, 2016
- 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 | 72878 | CA | Primary |
Addresses
Primary practice location
747 Westwood Plaza
Los Angeles, CA 90095
Mailing address
10905 Ohio Avenue
Apt 312
Los Angeles, CA 90024
Phone (901) 335-1592
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38017 | Medicaid | CA | |
| 38018 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 72878 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1629423348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10905 OHIO AVENUE",
"address_2": "APT 312",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90024",
"telephone_number": "901-335-1592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 WESTWOOD PLAZA",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90095",
"telephone_number": "310-267-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHODABAKHSHI",
"first_name": "SOHAIL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-02",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38017",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38018",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.