Active NPI
Abraham Inocencio
- Pharmacist
- Irvine, CA
National Provider Identifier
1952836785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60073
- Practice address
- 5385 Alton Pkwy
Irvine, CA 92604-8609 - Phone
- (949) 733-8226
- NPI assigned
- Apr 30, 2017
- Last updated
- Apr 30, 2017
- 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 | 60073 | CA | Primary |
Addresses
Primary practice location
5385 Alton Pkwy
Irvine, CA 92604-8609
Mailing address
14851 Braeburn Rd
Tustin, CA 92780-6214
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493510400000",
"number": "1952836785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14851 BRAEBURN RD",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5385 ALTON PKWY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926048609",
"telephone_number": "949-733-8226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INOCENCIO",
"first_name": "ABRAHAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-30",
"last_updated": "2017-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
- Innovation Surgery Inc.
- Innovations ABA LLC
- Innovative Home Care Solutions, Inc. (Synergy HomeCare)
- Innovative Hospice Care Inc
- Innovative Pharmacy Solutions Inc (King's Pharmacy and Compounding Center)
- Darya Inocencio, PHARMD
- Mami Inokuchi-Andersen
- Joyce Fang Inouye, DDS
- Insight Health Corp
- Inspire Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.