Organization Active NPI

Art Fertility LLC

  • Community/Retail Pharmacy
  • San Diego, CA
National Provider Identifier
1710520960
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Oct 21, 2019

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.