Active NPI
Yolanda Liwanag Pasay
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1982338422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 86197
- Practice address
- 4911 Ellenwood Dr
Los Angeles, CA 90041-1807 - Phone
- (213) 573-5128
- NPI assigned
- Jul 11, 2022
- Sex
- Female
- 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 | 86197 | CA | Primary |
Addresses
Primary practice location
4911 Ellenwood Dr
Los Angeles, CA 90041-1807
Mailing address
4911 Ellenwood Dr
Los Angeles, CA 90041-1807
Phone (213) 573-5128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86197 | Other | CA | CALIFORNIA STATE BOARD OF PHARMACY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86197 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1982338422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4911 ELLENWOOD DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411807",
"telephone_number": "213-573-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4911 ELLENWOOD DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411807",
"telephone_number": "213-573-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASAY",
"first_name": "YOLANDA",
"middle_name": "LIWANAG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-11",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
"identifier": "86197",
"state": "CA"
}
],
"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 Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.