NPIMap

Individual provider Active NPI

Haidi Vattolo

  • Pharmacist
  • Hemet, CA
National Provider Identifier
1962719682
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
63721 Issued in CA
Practice address
42021 E Florida Ave
Hemet, CA 92544-5016
Phone
(951) 925-1651
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 63721 CA Primary

Addresses

Primary practice location

42021 E Florida Ave
Hemet, CA 92544-5016

Mailing address

1940 W Acacia Ave
Apt# 26
Hemet, CA 92545-3787
Phone (951) 929-6232

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

State licenses

LicenseStateTypeSpecialty
63721CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Holistic Pharmacy Inc Current Accepting new patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1962719682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W ACACIA AVE",
            "address_2": "APT# 26",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453787",
            "telephone_number": "951-929-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42021 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445016",
            "telephone_number": "951-925-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATTOLO",
        "first_name": "HAIDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "63721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.