Homayoon B Khorsandi, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

43286 Issued in CA

Practice address

2222 Santa Monica Blvd. #103
Santa Monica, CA 90404-2304

Phone

(310) 453-5557

Fax

(310) 828-5536

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Skinrx Inc

  • Community/Retail Pharmacy
  • Santa Monica, CA
  • NPI 1861512378
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679634315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SANTA MONICA BLVD STE 103",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042305",
            "telephone_number": "310-453-5557",
            "fax_number": "310-828-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SANTA MONICA BLVD. #103",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042304",
            "telephone_number": "310-453-5557",
            "fax_number": "310-828-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORSANDI",
        "first_name": "HOMAYOON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "43286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "05-98877",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA395200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Khorramian, D.P.M.
• Reza Khorsan, M.D.
• Khorsandi Dental Practice, PC
• Khorsandi Dental Practice, PLLC
• Amin Khorsandi, M.D.
• Parisa Arman Khorsandi, M.D.
• Lamees Khorshid, PSYD, BCB
• Katayoun Khoshbin, MD
• Deven Khosla, M.D.
• Ashkan Khosravi

• Pharmacist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.