Active NPI
Hossein Heidari Torkabadi
- Pharmacist
- Oakland, CA
National Provider Identifier
1821651274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80082
- Practice address
- 2000 Mountain Blvd
Oakland, CA 94611-2807 - Phone
- (510) 339-8535
- NPI assigned
- Apr 20, 2019
- Last updated
- Apr 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 80082 | CA | Primary |
Addresses
Primary practice location
2000 Mountain Blvd
Oakland, CA 94611-2807
Mailing address
2000 Mountain Blvd
Oakland, CA 94611-2807
Phone (510) 339-8535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80082 | Other | CA | RPH LICENSE NUMBER |
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 |
|---|---|---|---|
| 80082 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | 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": "1555718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555718400000",
"number": "1821651274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MOUNTAIN BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946112807",
"telephone_number": "510-339-8535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MOUNTAIN BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946112807",
"telephone_number": "510-339-8535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDARI TORKABADI",
"first_name": "HOSSEIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-20",
"last_updated": "2019-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE NUMBER",
"identifier": "80082",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.