Individual provider Active NPI

Edwin Yadidi, PHARMD

  • Pharmacist
  • Beverly Hills, CA
National Provider Identifier
1891118345
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
96857 Issued in CA
Practice address
9400 Brighton Way
Beverly Hills, CA 90210-4714
Phone
(310) 274-0144
Fax
(310) 275-5470
NPI assigned
Feb 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 96857 CA Primary

Addresses

Primary practice location

9400 Brighton Way
Beverly Hills, CA 90210-4714

Mailing address

9400 Brighton Way
Beverly Hills, CA 90210-4714
Phone (310) 274-0144

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
96857CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1891118345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104714",
            "telephone_number": "310-274-0144",
            "fax_number": "310-275-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104714",
            "telephone_number": "310-274-0144",
            "fax_number": "310-275-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADIDI",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-03",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "96857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.