Individual provider Active NPI

Mina Navabzadeh Esmaeili, PHARMD

  • Pharmacist
  • Emeryville, CA
National Provider Identifier
1831837038
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85902 Issued in CA
Practice address
3889 San Pablo Ave
Emeryville, CA 94608-3808
Phone
(510) 450-1200
NPI assigned
May 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 85902 CA Primary

Addresses

Primary practice location

3889 San Pablo Ave
Emeryville, CA 94608-3808

Mailing address

150 Van Ness Ave Apt 1115
San Francisco, CA 94102-5284
Phone (727) 421-8213

Other practice location 1

150 Van Ness Ave Apt 1115
San Francisco, CA 94102-5284
Phone (727) 421-8213

Other identifiers 1

IdentifierTypeStateIssuer
85902OtherLICENSE 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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
85902CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1831837038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 VAN NESS AVE APT 1115",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025284",
            "telephone_number": "727-421-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3889 SAN PABLO AVE",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083808",
            "telephone_number": "510-450-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Van Ness Ave Apt 1115",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941025284",
            "country_code": "US",
            "telephone_number": "727-421-8213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVABZADEH ESMAEILI",
        "first_name": "MINA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "85902",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.