Individual provider Active NPI

Hashem Heiati, RPH., PH.D

  • Pharmacist
  • Vista, CA
National Provider Identifier
1992397780
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
52432 Issued in CA
Practice address
1031 E Vista Way
Vista, CA 92084-4606
Phone
(760) 724-7125
Fax
(760) 724-7127
NPI assigned
Feb 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52432 CA Primary

Addresses

Primary practice location

1031 E Vista Way
Vista, CA 92084-4606

Mailing address

13596 Penfield PT
San Diego, CA 92130-1414
Phone (858) 922-4439

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
Credentials
Doctor of Philosophy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
52432CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anton Corp Current Accepting new patients
Anton Corp Current Accepting new patients

Locations

1031 E Vista Way
Vista, CA 92084
Phone (760) 724-7125

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1992397780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13596 PENFIELD PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301414",
            "telephone_number": "858-922-4439",
            "fax_number": "760-724-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844606",
            "telephone_number": "760-724-7125",
            "fax_number": "760-724-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIATI",
        "first_name": "HASHEM",
        "name_prefix": "Dr.",
        "credential": "RPH., PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "52432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.