Active NPI
Andrea Ines Basagoitia, BPHARM, PHD
- Pharmacist
- San Diego, CA
National Provider Identifier
1902654353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH89557
- Practice address
- 4678 Fargo Ave
San Diego, CA 92117-2406 - Phone
- (209) 600-1567
- NPI assigned
- May 10, 2024
- Last updated
- Apr 17, 2026
- Sex
- Female
- 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 | RPH89557 | CA | Primary |
Addresses
Primary practice location
4678 Fargo Ave
San Diego, CA 92117-2406
Mailing address
4347 Huerfano Ave
San Diego, CA 92117-3627
Phone (209) 600-1567
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH89557 | Other | CA | CALIFORNIA BOARD OF PHARMACY |
| 1339156 | Other | NABP |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH89557 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1902654353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4347 HUERFANO AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921173627",
"telephone_number": "209-600-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4678 FARGO AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921172406",
"telephone_number": "209-600-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASAGOITIA",
"first_name": "ANDREA",
"middle_name": "INES",
"credential": "BPHARM, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-10",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH89557",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF PHARMACY",
"identifier": "RPH89557",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1339156",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.