Active NPI
Payam Hedayaty
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1629506530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- INT37338
- Practice address
- 12015 Wilshire Blvd
Los Angeles, CA 90025-1201 - Phone
- (310) 479-6500
- NPI assigned
- May 23, 2017
- 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 | INT37338 | CA | Primary |
Addresses
Primary practice location
12015 Wilshire Blvd
Los Angeles, CA 90025-1201
Mailing address
12015 Wilshire Blvd
Los Angeles, CA 90025-1201
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 |
|---|---|---|---|
| INT37338 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Jurupa Valley, CA
- NPI 1780573113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495497600000",
"number": "1629506530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12015 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12015 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251201",
"telephone_number": "310-479-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDAYATY",
"first_name": "PAYAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-23",
"last_updated": "2017-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "INT37338",
"primary": true
}
],
"identifiers": [],
"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 23, 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.