Active NPI
Ami Chudawala
- Pharmacist
- West Sacramento, CA
National Provider Identifier
1740682244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70877
- Practice address
- 2005 Town Center PLZ
West Sacramento, CA 95691-4957 - Phone
- (916) 384-0978
- NPI assigned
- Sep 16, 2014
- 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 | 70877 | CA | Primary |
Addresses
Primary practice location
2005 Town Center PLZ
West Sacramento, CA 95691-4957
Mailing address
891 Chandelier CT
San Marcos, CA 92078-2811
Phone (626) 271-2350
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 |
|---|---|---|---|
| 70877 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1740682244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 CHANDELIER CT",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782811",
"telephone_number": "626-271-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 TOWN CENTER PLZ",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956914957",
"telephone_number": "916-384-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUDAWALA",
"first_name": "AMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2021-06-09",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.