Active NPI
Iman Faragalla
- Pharmacist
- Mission Hills, CA
National Provider Identifier
1699230227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52476
- Practice address
- 9900 Sepulveda Blvd
Mission Hills, CA 91345-2916 - Phone
- (818) 892-4321
- Fax
- (818) 892-4214
- NPI assigned
- Feb 7, 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 | 52476 | CA | Primary |
Addresses
Primary practice location
9900 Sepulveda Blvd
Mission Hills, CA 91345-2916
Mailing address
9900 Sepulveda Blvd
Mission Hills, CA 91345-2916
Phone (818) 892-4321
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 |
|---|---|---|---|
| 52476 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1699230227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 SEPULVEDA BLVD",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913452916",
"telephone_number": "818-892-4321",
"fax_number": "818-892-4214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 SEPULVEDA BLVD",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913452916",
"telephone_number": "818-892-4321",
"fax_number": "818-892-4214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAGALLA",
"first_name": "IMAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-07",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "52476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.