Individual provider Active NPI

Patricia Rose Imasa

  • Pharmacist
  • Rancho Santa Margarita, CA
National Provider Identifier
1679234751
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85786 Issued in CA
Practice address
336 Sable
Rancho Santa Margarita, CA 92688-5575
Phone
(949) 573-8529
NPI assigned
Dec 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 85786 CA Primary

Addresses

Primary practice location

336 Sable
Rancho Santa Margarita, CA 92688-5575

Mailing address

336 Sable
Rancho Santa Margarita, CA 92688-5575
Phone (949) 573-8529

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": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1679234751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 SABLE",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885575",
            "telephone_number": "949-573-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 SABLE",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885575",
            "telephone_number": "949-573-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMASA",
        "first_name": "PATRICIA ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.