Individual provider Active NPI

Sofya Segal

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1992448021
Registry record updated Apr 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85750 Issued in CA
Practice address
318 S Detroit St Apt 108
Los Angeles, CA 90036-3582
Phone
(323) 688-9203
NPI assigned
Apr 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 85750 CA Primary

Addresses

Primary practice location

318 S Detroit St Apt 108
Los Angeles, CA 90036-3582

Mailing address

318 S Detroit St Apt 108
Los Angeles, CA 90036-3582
Phone (323) 688-9203

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL LosAngeles Direct

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
85750CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1650153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650153600000",
    "number": "1992448021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 S DETROIT ST APT 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363582",
            "telephone_number": "323-688-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S DETROIT ST APT 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363582",
            "telephone_number": "323-688-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "SOFYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-17",
        "last_updated": "2022-04-17",
        "certification_date": "2022-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LosAngeles",
            "affiliation": "N",
            "endpointDescription": "Los Angeles",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "318 S Detroit St Apt 108",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900363582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 17, 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.

Verify at the official NPI Registry.