Active NPI
Sabahat Latif Imran, MPHARM.
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1770677783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43578
- Practice address
- 401 Bicentennial Way
Kaiser Medical Center
Santa Rosa, CA 95403-2149 - Phone
- (707) 571-4354
- Fax
- (707) 571-4604
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 43578 | CA | Primary |
Addresses
Primary practice location
401 Bicentennial Way
Kaiser Medical Center
Santa Rosa, CA 95403-2149
Mailing address
1066 Holly Ave
Rohnert Park, CA 94928-1508
Phone (707) 571-4354
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 |
|---|---|---|---|
| 43578 | CA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770677783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1066 HOLLY AVE",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949281508",
"telephone_number": "707-571-4354",
"fax_number": "707-571-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BICENTENNIAL WAY",
"address_2": "KAISER MEDICAL CENTER",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954032149",
"telephone_number": "707-571-4354",
"fax_number": "707-571-4604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMRAN",
"first_name": "SABAHAT",
"middle_name": "LATIF",
"credential": "MPHARM.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "43578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
- Jo Ellen Ihinger
- Joshua Abueg Ilustre, MD
- Audri Im
- Anina Christine Imhof, PT, DPT
- Joseph Herbert Immel
- In Home Health LLC (ProMedica Hospice (San Rafael))
- In Home Health, LLC (ProMedica Hospice (Santa Rosa))
- Inadvance Medicine Associates, P.C. (Passport Health)
- Jamaica Ince-Galloway
- Christopher Inclan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.