Active NPI
Tina Merati
- Pharmacist
- San Fernando, CA
National Provider Identifier
1780135384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75431
- Practice address
- 11234 Laurel Canyon Blvd
San Fernando, CA 91340-4312 - Phone
- (818) 617-0505
- NPI assigned
- Oct 18, 2016
- Sex
- Female
- 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 | 75431 | CA | Primary |
Addresses
Primary practice location
11234 Laurel Canyon Blvd
San Fernando, CA 91340-4312
Mailing address
20558 Tiara St
Woodland Hills, CA 91367-5434
Phone (818) 862-8846
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 |
|---|---|---|---|
| 75431 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1780135384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20558 TIARA ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913675434",
"telephone_number": "818-862-8846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 LAUREL CANYON BLVD",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404312",
"telephone_number": "818-617-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERATI",
"first_name": "TINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.