Individual provider Active NPI

Fereshteh Bidokhtinezhad, PHARMD

  • Geriatric Pharmacist
  • Camarillo, CA
National Provider Identifier
1730452673
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
53767 Issued in CA
Practice address
4557 Pleasant Valley Rd
Camarillo, CA 93012-5185
Phone
(805) 388-0800
Fax
(805) 388-1515
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 53767 CA Primary

Addresses

Primary practice location

4557 Pleasant Valley Rd
Camarillo, CA 93012-5185

Mailing address

4557 Pleasant Valley Rd
Camarillo, CA 93012-5185
Phone (805) 388-0800

Other identifiers 1

IdentifierTypeStateIssuer
1063681195OtherCAMEDICAL

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
53767CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Pharmacy Inc Past Accepting new patients

Organizations & group practices 1

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": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1730452673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4557 PLEASANT VALLEY RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125185",
            "telephone_number": "805-388-0800",
            "fax_number": "805-388-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4557 PLEASANT VALLEY RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125185",
            "telephone_number": "805-388-0800",
            "fax_number": "805-388-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDOKHTINEZHAD",
        "first_name": "FERESHTEH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CA",
            "license": "53767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "1063681195",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.