Active NPI
Mohammad R Etminan, RPH
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1699160473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41937
- Practice address
- 1234 Wilshire Blvd # 106
Los Angeles, CA 90017-1970 - Phone
- (213) 481-1130
- NPI assigned
- Mar 30, 2015
- Sex
- Male
- 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 | 41937 | CA | Primary |
Addresses
Primary practice location
1234 Wilshire Blvd # 106
Los Angeles, CA 90017-1970
Mailing address
1234 Wilshire Blvd # 106
Los Angeles, CA 90017-1970
Phone (213) 481-1130
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1699160473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 WILSHIRE BLVD # 106",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171970",
"telephone_number": "213-481-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 WILSHIRE BLVD # 106",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171970",
"telephone_number": "213-481-1130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETMINAN",
"first_name": "MOHAMMAD",
"middle_name": "R",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-30",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "41937",
"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 Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.