Organization Active NPI

Regents of the University of California

  • 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
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
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

Authorized official

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

National Provider Directory

National Provider Directory
Tax ID family
Regents of the Univ of Ca56 organizations share this tax ID, including this one
Part of
Regents of the Univ of Ca

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHE54650 CA Primary

Addresses

NPPES NPI Registry

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 identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
5613244OtherNABP
PHE54650OtherCAPHARMACY LICENSE NUMBER

Other names 1

NPPES NPI Registry
  • Bruin Health Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5613244",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "PHE54650",
            "state": "CA"
        }
    ],
    "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.