Active NPI
Nasim Rejali
- Pharmacist
- San Diego, CA
National Provider Identifier
1740825090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75731
- Practice address
- 11415 Legacy Ter
San Diego, CA 92131-3579 - Phone
- (619) 808-6808
- NPI assigned
- Nov 11, 2019
- Last updated
- Nov 11, 2019
- 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 | 75731 | CA | Primary |
Addresses
Primary practice location
11415 Legacy Ter
San Diego, CA 92131-3579
Mailing address
11415 Legacy Ter
San Diego, CA 92131-3579
Phone (619) 808-2294
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 |
|---|---|---|---|
| 75731 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1740825090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11415 LEGACY TER",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313579",
"telephone_number": "619-808-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11415 LEGACY TER",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313579",
"telephone_number": "619-808-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REJALI",
"first_name": "NASIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-11",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.