Active NPI
Nahad Berenji
- Pharmacist
- San Diego, CA
National Provider Identifier
1801291430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55573
- Practice address
- 12780 El Camino Real
San Diego, CA 92130-2042 - Phone
- (512) 698-1722
- NPI assigned
- Oct 24, 2014
- 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 | 55573 | TX | Primary |
Addresses
Primary practice location
12780 El Camino Real
San Diego, CA 92130-2042
Mailing address
12780 El Camino Real
San Diego, CA 92130-2042
Phone (512) 698-1722
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 |
|---|---|---|---|
| 55573 | TX | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1801291430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12780 EL CAMINO REAL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302042",
"telephone_number": "512-698-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12780 EL CAMINO REAL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302042",
"telephone_number": "512-698-1722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERENJI",
"first_name": "NAHAD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.