Mikaela Jazmin Pecson Sampayan

Primary specialty

PharmacistTaxonomy code 183500000X

License

82904 Issued in CA

Practice address

1000 S Fremont Ave Ste 10150
Alhambra, CA 91803-8800

Phone

(855) 885-2600

NPI assigned

Oct 17, 2019

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• University of Southern California

  • Home Infusion Therapy Pharmacy
  • Alhambra, CA
  • NPI 1336084342
  NPD (past)
• University of Southern California

  dba Keck Medicine of USC Specialty Pharmacy

  • Community/Retail Pharmacy
  • Alhambra, CA
  • NPI 1790160273
  NPD (past)

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1861035230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S FREMONT AVE STE 10150",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918038800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S FREMONT AVE STE 10150",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918038800",
            "telephone_number": "855-885-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPAYAN",
        "first_name": "MIKAELA",
        "middle_name": "JAZMIN PECSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-4484",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Salas
• Anthony Salazar
• Donnie C Salcedo, OTA
• Elizabeth Saldana
• Alyssa Barbara Salgado
• Samuel W Chung, M.D., Inc.
• San Gabriel Adhc Assoc. (ABC Therapy Center)
• San Gabriel Valley Physical Therapy, Inc.
• San Gabriel Valley Urology Group, a Medical Corporation (San Gabriel Valley Urology Group)
• Breanna Victoria San Miguel

• Pharmacist in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.