NPIMap

Organization Active NPI

AIDS Healthcare Foundation

  • Pharmacy
  • San Diego, CA
National Provider Identifier
1649600487
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY51043 Issued in CA
Legal business name
AIDS HEALTHCARE FOUNDATION
Practice address
3940 Fourth Avenue
Suite 150
San Diego, CA 92103-7193
Phone
(619) 574-9700
Fax
(619) 574-9701
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Peter Reis
Title
Vice President
Phone
(323) 860-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY51043 CA Primary

Addresses

Primary practice location

3940 Fourth Avenue
Suite 150
San Diego, CA 92103-7193

Mailing address

19300 S. Hamilton Avenue
Suite 107
Gardena, CA 90248-4411
Phone (310) 464-8241

Other identifiers 1

IdentifierTypeStateIssuer
3065340MedicaidCA

Other names 1

  • AHF Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
AIDS Health Foundation93 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1649600487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19300 S. HAMILTON AVENUE",
            "address_2": "SUITE 107",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484411",
            "telephone_number": "310-464-8241",
            "fax_number": "310-771-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 FOURTH AVENUE",
            "address_2": "SUITE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037193",
            "telephone_number": "619-574-9700",
            "fax_number": "619-574-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS HEALTHCARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "323-860-5200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY51043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3065340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHF Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 14, 2013; 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.