Individual provider Active NPI

Nasim Salehinasab

  • Pharmacist
  • Santa Ana, CA
National Provider Identifier
1629884952
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
57048 Issued in CA
Practice address
2321 E 4TH St Ste C406
Santa Ana, CA 92705-3861
Phone
(949) 836-1072
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 57048 CA Primary

Addresses

Primary practice location

2321 E 4TH St Ste C406
Santa Ana, CA 92705-3861

Mailing address

2321 E 4TH St Ste C406
Santa Ana, CA 92705-3861
Phone (949) 836-1072

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

LicenseStateTypeSpecialty
57048CAMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1629884952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 E 4TH ST STE C406",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053861",
            "telephone_number": "949-836-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 E 4TH ST STE C406",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053861",
            "telephone_number": "949-836-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEHINASAB",
        "first_name": "NASIM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "57048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.