Active NPI
Mahsa Dadkhah
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1689126708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75320
- Practice address
- 615 S Atlantic Blvd
Los Angeles, CA 90022-3211 - Phone
- (323) 268-9191
- NPI assigned
- Oct 25, 2016
- Last updated
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 183500000X | 75320 | CA | Primary |
Addresses
Primary practice location
615 S Atlantic Blvd
Los Angeles, CA 90022-3211
Mailing address
602 N El Camino Real
San Clemente, CA 92672-4720
Phone (949) 369-5281
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75320 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1689126708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N EL CAMINO REAL",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926724720",
"telephone_number": "949-369-5281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S ATLANTIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900223211",
"telephone_number": "323-268-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADKHAH",
"first_name": "MAHSA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-25",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.