Individual provider Active NPI

Andreas Gomarooni, PHD, PHARMD

  • Pharmacotherapy Pharmacist
  • Rancho Mirage, CA
National Provider Identifier
1922086156
Registry record updated Dec 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
57164 Issued in CA
Practice address
70077 Ramon Rd
Rancho Mirage, CA 92270-5201
Phone
(760) 895-6599
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2018

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15995 NE
Pharmacist 183500000X 20004014854 MO
Pharmacotherapy Pharmacist 1835P1200X 54070 TX
Pharmacotherapy Pharmacist 1835P1200X 5631 ND
Pharmacotherapy Pharmacist 1835P1200X 1-15498 KS
Ambulatory Care Pharmacist 1835P2201X 57164 CA
Ambulatory Care Pharmacist 1835P2201X 53639 FL
Pharmacotherapy Pharmacist 1835P1200X 57164 CA Primary

Addresses

Primary practice location

70077 Ramon Rd
Rancho Mirage, CA 92270-5201

Mailing address

11273 Laurel Canyon Blvd Ste 4
San Fernando, CA 91340-4359
Phone (213) 293-0082

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, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
20004014854MOMDPharmacist
1-15498KSMDPharmacotherapy Pharmacist
5631NDMDPharmacotherapy Pharmacist
54070TXMDPharmacotherapy Pharmacist
53639FLMDAmbulatory Care Pharmacist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19718/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544832000000",
    "number": "1922086156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11273 LAUREL CANYON BLVD STE 4",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404359",
            "telephone_number": "213-293-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70077 RAMON RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705201",
            "telephone_number": "760-895-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMAROONI",
        "first_name": "ANDREAS",
        "name_prefix": "Dr.",
        "credential": "PHD, PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2018-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "15995",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "20004014854",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TX",
            "license": "54070",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "ND",
            "license": "5631",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "KS",
            "license": "1-15498",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CA",
            "license": "57164",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "FL",
            "license": "53639",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "57164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2018; 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.