Individual provider Active NPI

Sanjay Pravin Mehta, PHARMD

  • Pharmacist
  • Hemet, CA
National Provider Identifier
1649450305
Registry record updated Nov 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42132 Issued in CA
Practice address
869 W Florida Ave
Hemet, CA 92543-4070
Phone
(951) 765-6505
Fax
(951) 765-6522
NPI assigned
Nov 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42132 CA Primary

Addresses

Primary practice location

869 W Florida Ave
Hemet, CA 92543-4070

Mailing address

869 W Florida Ave
Hemet, CA 92543-4070
Phone (951) 765-6505

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

LicenseStateTypeSpecialty
42132CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashapurimaa Inc Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1194652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194652800000",
    "number": "1649450305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434070",
            "telephone_number": "951-765-6505",
            "fax_number": "951-765-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434070",
            "telephone_number": "951-765-6505",
            "fax_number": "951-765-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SANJAY",
        "middle_name": "PRAVIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-10",
        "last_updated": "2007-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "42132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2007; 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.