Individual provider Active NPI

Shahrzad Ziaeian

  • Pharmacist
  • Burbank, CA
National Provider Identifier
1740888767
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
78489 Issued in CA
Practice address
2211 W Magnolia Blvd Ste 115
Burbank, CA 91506-1758
Phone
(909) 660-9415
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 78489 CA Primary

Addresses

Primary practice location

2211 W Magnolia Blvd Ste 115
Burbank, CA 91506-1758

Mailing address

2211 W Magnolia Blvd Ste 115
Burbank, CA 91506-1758
Phone (818) 238-0100

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

LicenseStateTypeSpecialty
78489CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Pharmaceutical Corp CurrentSince Oct 19, 2020 Accepting new patients

Locations

2211 W Magnolia Blvd
Ste 115
Burbank, CA 91506
Phone (818) 238-0100

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1740888767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W MAGNOLIA BLVD STE 115",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061758",
            "telephone_number": "818-238-0100",
            "fax_number": "818-238-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W MAGNOLIA BLVD STE 115",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061758",
            "telephone_number": "909-660-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIAEIAN",
        "first_name": "SHAHRZAD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "78489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.