Individual provider Active NPI

Stephanie Isorena

  • Pharmacist
  • Walnut Creek, CA
National Provider Identifier
1720497530
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60831 Issued in CA
Practice address
2880 Shadelands Dr
Suite 201
Walnut Creek, CA 94598-2522
Phone
(925) 979-6842
NPI assigned
Aug 6, 2014
Last updated
Apr 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60831 CA Primary

Addresses

Primary practice location

2880 Shadelands Dr
Suite 201
Walnut Creek, CA 94598-2522

Mailing address

180 Brannan St
Apt 425
San Francisco, CA 94107-2032

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

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1720497530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BRANNAN ST",
            "address_2": "APT 425",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 SHADELANDS DR",
            "address_2": "SUITE 201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982522",
            "telephone_number": "925-979-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISORENA",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "60831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.