NPIMap

Organization Active NPI

Regents of the University of California

Doing business as Bruin Health Pharmacy

  • Pharmacy
  • Los Angeles, CA
National Provider Identifier
1730304536
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHE54650 Issued in CA
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Doing business as
Bruin Health Pharmacy
Practice address
308 Westwood PLZ # a-250
Los Angeles, CA 90095-1703
Phone
(310) 206-2146
Fax
(310) 267-2014
NPI assigned
Apr 16, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Jason Javaherifar, PHARM.D.
Title
Pharmacy Manager
Phone
(310) 206-2146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHE54650 CA Primary

Addresses

Primary practice location

308 Westwood PLZ # a-250
Los Angeles, CA 90095-1703

Mailing address

308 Westwood PLZ # a-250
Los Angeles, CA 90095-1703
Phone (310) 206-2146

Other names 1

  • Bruin Health Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thomas S Klitzner MD56 organizations share this tax ID, including this one
Part of
Thomas S Klitzner MD

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

308 Westwood Plz
#A250
Los Angeles, CA 90095
Phone (310) 206-2146

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730304536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WESTWOOD PLZ # A-250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951703",
            "telephone_number": "310-206-2146",
            "fax_number": "310-267-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WESTWOOD PLZ # A-250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951703",
            "telephone_number": "310-206-2146",
            "fax_number": "310-267-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JAVAHERIFAR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "310-206-2146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHE54650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruin Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.