Active NPI
Afrouz Nikmanesh
- Pharmacist
- San Bernardino, CA
National Provider Identifier
1851766505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48864
- Practice address
- 1099 E. Hospitality Dr.
San Bernardino, CA 92408 - Phone
- (909) 478-5662
- Fax
- (909) 478-0294
- NPI assigned
- Dec 7, 2015
- Last updated
- Dec 7, 2015
- 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 | 48864 | CA | Primary |
Addresses
Primary practice location
1099 E. Hospitality Dr.
San Bernardino, CA 92408
Mailing address
1099 E. Hospitality Dr.
San Bernardino, CA 92408
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 |
|---|---|---|---|
| 48864 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1851766505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 E. HOSPITALITY DR.",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 E. HOSPITALITY DR.",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92408",
"telephone_number": "909-478-5662",
"fax_number": "909-478-0294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKMANESH",
"first_name": "AFROUZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "48864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.