Active NPI
Xiaodong Feng, PHARMD, PHD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Rancho Cordova, CA
National Provider Identifier
1659609477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 60040
- Practice address
- 10811 International Dr
Rancho Cordova, CA 95670-7368 - Phone
- (916) 631-8108
- Fax
- (916) 631-8127
- NPI assigned
- Dec 7, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 60040 | CA | Primary |
Addresses
Primary practice location
10811 International Dr
Rancho Cordova, CA 95670-7368
Mailing address
103 Iron Mountain CT
Folsom, CA 95630-7100
Phone (916) 473-2813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60040 | Other | CA | CALIFORNIA BOARD OF PHARMACY |
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 Philosophy, Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1659609477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 IRON MOUNTAIN CT",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956307100",
"telephone_number": "916-473-2813",
"fax_number": "916-631-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10811 INTERNATIONAL DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707368",
"telephone_number": "916-631-8108",
"fax_number": "916-631-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENG",
"first_name": "XIAODONG",
"name_prefix": "Dr.",
"credential": "PHARMD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-07",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "60040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF PHARMACY",
"identifier": "60040",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.