Individual provider Active NPI

Babak Fatirian, PHARM-D

  • Pharmacist
  • Encino, CA
National Provider Identifier
1811279615
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
64500 Issued in CA
Practice address
17479 Ventura Blvd
Encino, CA 91316-3828
Phone
(818) 514-4020
Fax
(818) 514-4025
NPI assigned
Sep 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 64500 CA Primary

Addresses

Primary practice location

17479 Ventura Blvd
Encino, CA 91316-3828

Mailing address

17479 Ventura Blvd
Encino, CA 91316-3828
Phone (818) 514-4020

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
64500CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Encino Medical Pharmacy Inc Current Accepting new patients

Locations

17479 Ventura Blvd
Encino, CA 91316
Phone (818) 514-4020

Organizations & group practices 1

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": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1811279615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17479 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163828",
            "telephone_number": "818-514-4020",
            "fax_number": "818-514-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17479 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163828",
            "telephone_number": "818-514-4020",
            "fax_number": "818-514-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATIRIAN",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "PHARM-D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-16",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "64500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.