Active NPI
Art Fertility LLC
- Community/Retail Pharmacy
- San Diego, CA
National Provider Identifier
1710520960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ART FERTILITY LLC
- Doing business as
- ART FERTILITY PHARMACY
- Practice address
- 11568 Sorrento Valley Rd Ste 12
San Diego, CA 92121-1313 - Phone
- (858) 336-5063
- Fax
- (888) 239-6337
- NPI assigned
- Oct 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hamidreza Jason Sabouri
- Title
- President
- Phone
- (858) 336-5063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
11568 Sorrento Valley Rd Ste 12
San Diego, CA 92121-1313
Mailing address
PO Box 1188
Rancho Santa Fe, CA 92067-1188
Phone (858) 336-5063
Other names 1
- ART FERTILITY PHARMACY
National Provider Directory
National Provider DirectoryLocations
11568 Sorrento Valley Rd
Ste 12
San Diego, CA 92121
Phone (858) 336-5063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571616000000",
"number": "1710520960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1188",
"city": "RANCHO SANTA FE",
"state": "CA",
"postal_code": "920671188",
"telephone_number": "858-336-5063",
"fax_number": "888-239-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11568 SORRENTO VALLEY RD STE 12",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211313",
"telephone_number": "858-336-5063",
"fax_number": "888-239-6337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ART FERTILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A",
"authorized_official_last_name": "SABOURI",
"authorized_official_first_name": "HAMIDREZA",
"authorized_official_middle_name": "JASON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-336-5063",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ART FERTILITY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.