Active NPI
Daniel Abraham Sabzerou, PHARMD
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1922479682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73461
- Practice address
- 2107 S San Pedro St
Los Angeles, CA 90011-1125 - Phone
- (213) 441-7771
- Fax
- (213) 441-7772
- NPI assigned
- Oct 7, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 73461 | CA | Primary |
Addresses
Primary practice location
2107 S San Pedro St
Los Angeles, CA 90011-1125
Mailing address
2107 S San Pedro St
Los Angeles, CA 90011-1125
Phone (213) 441-7771
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73461 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lux Pharmacy Inc | Current | Accepting new patients | |
| Lux Pharmacy Inc | Current | Accepting new patients | |
| City Care Pharmacy, Inc. | Past | Accepting new patients |
Locations
2107 S San Pedro St
Los Angeles, CA 90011
Phone (213) 441-7771
Interoperability endpoints
- daniel.sabzerou.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1538677083
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1255008850
-
- Long Term Care Pharmacy
- Los Angeles, CA
- NPI 1700676681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1922479682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 S SAN PEDRO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900111125",
"telephone_number": "213-441-7771",
"fax_number": "213-441-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 S SAN PEDRO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900111125",
"telephone_number": "213-441-7771",
"fax_number": "213-441-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABZEROU",
"first_name": "DANIEL",
"middle_name": "ABRAHAM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-07",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73461",
"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 Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.