Active NPI
Bijan Jamie Sabouri, PHARMD
- Pharmacist
- El Cajon, CA
National Provider Identifier
1790146173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73242
- Practice address
- 455 N Magnolia Ave
El Cajon, CA 92020-3606 - Phone
- (619) 442-0303
- Fax
- (619) 442-0305
- NPI assigned
- Mar 14, 2016
- Last updated
- Mar 22, 2021
- 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 | 73242 | CA | Primary |
Addresses
Primary practice location
455 N Magnolia Ave
El Cajon, CA 92020-3606
Mailing address
455 N Magnolia Ave
El Cajon, CA 92020-3606
Phone (619) 442-0303
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73242 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Nudo, LLC | Current | Accepting new patients | |
| El Nudo, LLC | Current | Accepting new patients | |
| PJN Pharmacies Inc | Past | Accepting new patients |
Locations
455 N Magnolia Ave
El Cajon, CA 92020
Phone (619) 442-0303
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1790146173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 N MAGNOLIA AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920203606",
"telephone_number": "619-442-0303",
"fax_number": "619-442-0305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 N MAGNOLIA AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920203606",
"telephone_number": "619-442-0303",
"fax_number": "619-442-0305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABOURI",
"first_name": "BIJAN",
"middle_name": "JAMIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-14",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.