Mojdeh Sorooshian, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

51065 Issued in CA

Practice address

21612 Columbus Ave
Cupertino, CA 95014-4711

Phone

(408) 836-1948

NPI assigned

Sep 12, 2013

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2013.

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1962837500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21612 COLUMBUS AVE",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144711",
            "telephone_number": "408-836-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21612 COLUMBUS AVE",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144711",
            "telephone_number": "408-836-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROOSHIAN",
        "first_name": "MOJDEH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "51065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Sparks, MS, LMFT
• Spectrum Eye Physicians, a Medical Corporation
• Spencer Hau Chiropractic Corp

• All providers in Cupertino, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.