Individual provider Active NPI

Turaj Tom Shafa, PHARM.D.

  • Pharmacist
  • West Hollywood, CA
National Provider Identifier
1750365656
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH30222 Issued in CA
Practice address
8733 Beverly Blvd
Suite 100
West Hollywood, CA 90048-1827
Phone
(310) 657-1635
Fax
(310) 657-5455
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH30222 CA Primary

Addresses

Primary practice location

8733 Beverly Blvd
Suite 100
West Hollywood, CA 90048-1827

Mailing address

15511 Adagio CT
Los Angeles, CA 90077-1501
Phone (310) 440-1487

Other identifiers 1

IdentifierTypeStateIssuer
PHA220510MedicaidCA

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
RPH30222CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Turaj Tom Shafa Current Accepting new patients
Ac Pharmacies Past Accepting new patients

Locations

8733 Beverly Blvd
Ste 100
West Hollywood, CA 90048
Phone (310) 657-1635

Organizations & group practices 2

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750365656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15511 ADAGIO CT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771501",
            "telephone_number": "310-440-1487",
            "fax_number": "310-440-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "address_2": "SUITE 100",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481827",
            "telephone_number": "310-657-1635",
            "fax_number": "310-657-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFA",
        "first_name": "TURAJ",
        "middle_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH30222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA220510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.