Active NPI
Nicholas A. Stasinis Jr.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1871710897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44876
- Practice address
- 8927 Exposition Blvd
Los Angeles, CA 90034-3303 - Phone
- (310) 838-8388
- Fax
- (310) 733-4140
- NPI assigned
- Apr 19, 2007
- 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 | 44876 | CA | Primary |
Addresses
Primary practice location
8927 Exposition Blvd
Los Angeles, CA 90034-3303
Mailing address
364 Woodland Rd
Simi Valley, CA 93065-8207
Phone (805) 306-9440
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 |
|---|---|---|---|
| 44876 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871710897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 WOODLAND RD",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930658207",
"telephone_number": "805-306-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8927 EXPOSITION BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343303",
"telephone_number": "310-838-8388",
"fax_number": "310-733-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASINIS",
"first_name": "NICHOLAS",
"middle_name": "A.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "44876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.