Individual provider Active NPI

Sara Qaderi

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1649590712
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62818 Issued in CA
Practice address
2440 Cardinal Dr Apt 27
San Diego, CA 92123-4132
Phone
(858) 278-0866
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62818 CA Primary

Addresses

Primary practice location

2440 Cardinal Dr Apt 27
San Diego, CA 92123-4132

Mailing address

2440 Cardinal Dr Apt 27
San Diego, CA 92123-4132
Phone (858) 278-0866

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

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1649590712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 CARDINAL DR APT 27",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234132",
            "telephone_number": "858-278-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 CARDINAL DR APT 27",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234132",
            "telephone_number": "858-278-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QADERI",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "62818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.