Jalal Elias Saddi

Primary specialty

PharmacistTaxonomy code 183500000X

License

83928 Issued in CA

Practice address

12071 Mount Vernon Ave
Grand Terrace, CA 92313-5173

Phone

(909) 514-0287

NPI assigned

Dec 23, 2020

Last updated

Dec 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Garfield Beach CVS LLC

  dba CVS Pharmacy 08825

  • Pharmacy
  • Grand Terrace, CA
  • NPI 1497799746
  NPD (past)
• Garfield Beach CVS, L.L.C.

  dba CVS Pharmacy #17914

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1992392922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12071 MOUNT VERNON AVE",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135173",
            "telephone_number": "909-514-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12071 MOUNT VERNON AVE",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135173",
            "telephone_number": "909-514-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADDI",
        "first_name": "JALAL",
        "middle_name": "ELIAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside-San Bernardino County Indian Health, Inc. (Sasn Manuel Indian Health Clinic)
• Lynette J. Rivinius, RN, MS, CNS, CDE
• Cristina Rodriguez
• Geraldyn Reyes Bandola Sabalboro, MASSAGE THERAPIST
• Michelle Sabino, MS, CCC-SLP
• Wendy Yanira Saldana, SLPA
• Denisse Salvatierra
• Betty M Sanabria
• Sarah Frances Sayegh, M.S. SLP
• Hillel Olivier Shand, PHARMD MPH

• Pharmacist in Grand Terrace, CA
• Providers in Grand Terrace, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.