Active NPI
Miguel Angel Palafox, PHARMD
- Pharmacist
- San Diego, CA
National Provider Identifier
1831782036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83566
- Practice address
- 480 Alta Rd
San Diego, CA 92179-0001 - Phone
- (619) 661-6500
- NPI assigned
- Feb 18, 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 | 83566 | CA | Primary |
Addresses
Primary practice location
480 Alta Rd
San Diego, CA 92179-0001
Mailing address
7135 Rascal CT
Riverside, CA 92509-5567
Phone (951) 500-9638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83566 | Other | CA | REGISTERED PHARMACIST LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cdcr.ca.gov/facility-locator/rjd/ |
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 |
|---|---|---|---|
| 83566 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of California Prison Industry Authority | Past | Accepting new patients |
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.
-
- Eyewear Supplier
- San Diego, CA
- NPI 1356558001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1831782036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7135 RASCAL CT",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925095567",
"telephone_number": "951-500-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 ALTA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921790001",
"telephone_number": "619-661-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAFOX",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACIST LICENSE NUMBER",
"identifier": "83566",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cdcr.ca.gov/facility-locator/rjd/",
"affiliation": "N",
"endpointDescription": "Practice Location Web Information Page",
"address_1": "480 Alta Rd",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921790001",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 18, 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.