Active NPI
Panathda Victoria Bayrasy, PHARMD
- Pharmacotherapy Pharmacist
- Santa Rosa, CA
National Provider Identifier
1629559133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 78785
- Practice address
- 30 Mark West Springs Rd
Santa Rosa, CA 95403-1436 - Phone
- (707) 576-4340
- NPI assigned
- Aug 23, 2018
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 78785 | CA | Primary |
Addresses
Primary practice location
30 Mark West Springs Rd
Santa Rosa, CA 95403-1436
Mailing address
30 Mark West Springs Rd
Santa Rosa, CA 95403-1436
Phone (707) 576-4340
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 |
|---|---|---|---|
| 78785 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1629559133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MARK WEST SPRINGS RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954031436",
"telephone_number": "707-576-4340",
"fax_number": "707-573-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MARK WEST SPRINGS RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954031436",
"telephone_number": "707-576-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYRASY",
"first_name": "PANATHDA",
"middle_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2023-11-15",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "78785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.