Active NPI
Beeta Mahdavi
- Pharmacist
- Santa Barbara, CA
National Provider Identifier
1720556145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75662
- Practice address
- 400 W Pueblo St
Santa Barbara, CA 93105-4353 - Phone
- (805) 682-7111
- NPI assigned
- Nov 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 75662 | CA | Primary |
Addresses
Primary practice location
400 W Pueblo St
Santa Barbara, CA 93105-4353
Mailing address
333 E Arrellaga St Apt 2
Santa Barbara, CA 93101-8121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75662 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541203200000",
"number": "1720556145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E ARRELLAGA ST APT 2",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931018121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W PUEBLO ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931054353",
"telephone_number": "805-682-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHDAVI",
"first_name": "BEETA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-03",
"last_updated": "2018-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.