Active NPI
Mariam Kaldas
- Pharmacist
- Hollywood, CA
National Provider Identifier
1821628728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80269
- Practice address
- 1747 N Cahuenga Blvd
Hollywood, CA 90028-5101 - Phone
- (323) 463-7900
- NPI assigned
- Jan 19, 2020
- Last updated
- Jan 19, 2020
- 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 | 80269 | CA | Primary |
Addresses
Primary practice location
1747 N Cahuenga Blvd
Hollywood, CA 90028-5101
Mailing address
540 N Central Ave Apt 408
Glendale, CA 91203-3350
Phone (818) 476-6414
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 |
|---|---|---|---|
| 80269 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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": "1579392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579392000000",
"number": "1821628728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 N CENTRAL AVE APT 408",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912033350",
"telephone_number": "818-476-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 N CAHUENGA BLVD",
"city": "HOLLYWOOD",
"state": "CA",
"postal_code": "900285101",
"telephone_number": "323-463-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALDAS",
"first_name": "MARIAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-19",
"last_updated": "2020-01-19",
"certification_date": "2020-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.