Active NPI
Sanjiv Pandya
- Pharmacist
- Santa Paula, CA
National Provider Identifier
1861145559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47063
- Practice address
- 254 E Harvard Blvd
Santa Paula, CA 93060-3372 - Phone
- (805) 525-8700
- Fax
- (805) 525-8711
- NPI assigned
- Feb 2, 2022
- 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 | 47063 | CA | Primary |
Addresses
Primary practice location
254 E Harvard Blvd
Santa Paula, CA 93060-3372
Mailing address
254 E Harvard Blvd
Santa Paula, CA 93060-3372
Phone (805) 525-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821396227 | Medicaid | CA |
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 |
|---|---|---|---|
| 47063 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Pharmacy Inc | Current | Accepting new patients |
Locations
254 E Harvard Blvd
Santa Paula, CA 93060
Phone (805) 525-8700
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, 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": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1861145559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 E HARVARD BLVD",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930603372",
"telephone_number": "805-525-8700",
"fax_number": "805-525-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 E HARVARD BLVD",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930603372",
"telephone_number": "805-525-8700",
"fax_number": "805-525-8711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDYA",
"first_name": "SANJIV",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-02",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "47063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821396227",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Paula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.