Organization Active NPI

Hygieia Healthcare Inc

  • Community/Retail Pharmacy
  • Los Alamitos, CA
National Provider Identifier
1710097175
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY36244 Issued in CA
Legal business name
HYGIEIA HEALTHCARE INC
Practice address
3801 Katella Ave Ste 120
Los Alamitos, CA 90720-3360
Phone
(562) 431-2505
Fax
(562) 596-6226
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Authorized official

Name
Vidhyut Girish Jani
Title
Pharmacist in Charge
Phone
(714) 604-6630

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHY36244 CA Primary

Addresses

Primary practice location

3801 Katella Ave Ste 120
Los Alamitos, CA 90720-3360

Mailing address

3801 Katella Ave Ste 120
Los Alamitos, CA 90720-3360
Phone (562) 431-2505

Other identifiers 1

IdentifierTypeStateIssuer
1710097175MedicaidCA

Other names 1

  • Los Alamitos Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210326000740 CA DME Supplier - Pharmacy 0143637728 Practice locations: Los Alamitos, CA
O20210420000717 CA Part B Supplier - Mass Immunization (Roster Biller Only) 0143637728 Practice locations: Los Alamitos, CA

National Provider Directory

National Provider Directory
Tax ID family
Hygieia Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14241 Firestone Blvd
Ste 320
La Mirada, CA 90638

3801 Katella Ave
Ste 120
Los Alamitos, CA 90720
Phone (562) 431-2505

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659744000000",
    "number": "1710097175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 120",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203360",
            "telephone_number": "562-431-2505",
            "fax_number": "562-596-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 120",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203360",
            "telephone_number": "562-431-2505",
            "fax_number": "562-596-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYGIEIA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "VIDHYUT",
        "authorized_official_middle_name": "GIRISH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "714-604-6630"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY36244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710097175",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Alamitos Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Los Alamitos Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.