NPIMap

Organization Active NPI

C&a Medical 1

  • Long Term Care Pharmacy
  • Lake Forest, CA
National Provider Identifier
1720313257
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
49911 Issued in CA
Legal business name
C&A MEDICAL 1
Doing business as
Advanced Care Pharmacy
Practice address
22642 Lambert St Ste 404
Lake Forest, CA 92630-1645
Phone
(949) 347-8881
Fax
(949) 347-8886
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Maryam SharafsalehNPI 1528149390
Title
President
Phone
(760) 212-2761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 49911 CA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

22642 Lambert St Ste 404
Lake Forest, CA 92630-1645

Mailing address

22642 Lambert St
Suite 404
Lake Forest, CA 92630-1610
Phone (949) 347-8881

Other identifiers 1

IdentifierTypeStateIssuer
2122438OtherPK

Other names 1

  • Advanced Care Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advance Care Pharmacy2 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

22642 Lambert St
Ste 404
Lake Forest, CA 92630
Phone (949) 347-8881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1720313257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22642 LAMBERT ST",
            "address_2": "SUITE 404",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301610",
            "telephone_number": "949-347-8881",
            "fax_number": "949-347-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22642 LAMBERT ST STE 404",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301645",
            "telephone_number": "949-347-8881",
            "fax_number": "949-347-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&A MEDICAL 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "SHARAFSALEH",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-212-2761"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "49911",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122438",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.