Individual provider Active NPI

Marcel Sassola III, RPH

  • Pharmacist
  • Santa Barbara, CA
National Provider Identifier
1720806953
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH40870 Issued in CA
Practice address
2946 De la Vina St
Santa Barbara, CA 93105-3310
Phone
(805) 967-9990
NPI assigned
Sep 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH40870 CA Primary

Addresses

Primary practice location

2946 De la Vina St
Santa Barbara, CA 93105-3310

Mailing address

5018 Read Rd
Moorpark, CA 93021-8765
Phone (818) 388-9080

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH40870CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Eyecare Inc., a Professional Medical Corporation CurrentSince Sep 29, 2024 Accepting new patients
Santa Barbara Cottage Hospital PastSince Sep 29, 2024 Accepting new patients

Locations

2946 De la Vina St
Santa Barbara, CA 93105
Phone (805) 967-9990

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1720806953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 READ RD",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930218765",
            "telephone_number": "818-388-9080",
            "fax_number": "866-496-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053310",
            "telephone_number": "805-967-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSOLA",
        "first_name": "MARCEL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH40870",
            "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 Oct 29, 2024; 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.