SASIPAN JETAWATANA (NPI# 1053763144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053763144 |
| Entity Type | Individual |
| Full Name | SASIPAN JETAWATANA |
| Practice Address |
18350 Roscoe Blvd Northridge CA 91325-4109 |
| Mailing Address |
21901 Lassen St Unit 103 Chatsworth CA 91311-3651 |
| Practice Telephone | 8186885772 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 73148 | CA | Pharmacy Service Providers |
| Street Address |
18350 ROSCOE BLVD |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808494 | Andrew Chang | Ophthalmology | 18350 Roscoe Blvd, Suite 101, Northridge, CA 91325-4109 | 2005-08-22 |
| 1386145324 | Farhad Fred Naziri | Pharmacist | 18350 Roscoe Blvd, 102, Northridge, CA 91325-4146 | 2018-02-26 |
| 1972956852 | Tobi Quinto | Pathology | 18350 Roscoe Blvd, Northridge, CA 91325-4109 | 2016-07-15 |
| 1427457738 | Md Breath Testing Laboratory | Clinical Medical Laboratory | 18350 Roscoe Blvd, Suite 303, Northridge, CA 91325-4109 | 2014-08-22 |
| 1588003487 | Jennifer Gabrielle Bronson | Nurse Practitioner | 18350 Roscoe Blvd, 213, Northridge, CA 91325-4109 | 2013-06-24 |
| 1972857464 | Marc Kerner, M.d., A.p.c. | Specialist | 18350 Roscoe Blvd, Suite 318, Northridge, CA 91325-4109 | 2012-11-05 |
| 1992072474 | Ronald Accomazzo, Md, A Medical Corporation | Specialist | 18350 Roscoe Blvd, Suite 318, Northridge, CA 91325-4109 | 2011-11-28 |
| 1841441706 | Mandana Barahimi | General Acute Care Hospital | 18350 Roscoe Blvd, Suite 600, Northridge, CA 91325-4187 | 2008-10-08 |
| 1093966236 | Ritoo Gagneja | Family Medicine | 18350 Roscoe Blvd, Suite 600, Northridge, CA 91325-4109 | 2008-10-07 |
| 1275703969 | Bjorn Mark Lobo | Neurological Surgery | 18350 Roscoe Blvd, Suite 405, Northridge, CA 91325-4109 | 2008-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180350 | Robert Chad Hakim | Pharmacist | 9415 White Oak Ave, Northridge, CA 91325-2337 | 2020-09-28 |
| 1700411055 | Ike Dahjet | Pharmacist | 18546 Roscoe Blvd Ste 102, Northridge, CA 91324-4667 | 2020-03-06 |
| 1629603055 | Gulamdastageer Allie | Pharmacist | 19331 Business Center Dr Ste 100, Northridge, CA 91324-3533 | 2020-03-05 |
| 1427610070 | Kathryn Stephanie Blanco Adriatico | Pharmacist | 16647 Labrador St, Northridge, CA 91343-1717 | 2019-07-03 |
| 1114488293 | Erish Malonzo | Pharmacist | 8302 Rathburn Ave, Northridge, CA 91325-4208 | 2019-03-29 |
| 1407312523 | Tanya Rita Kalandjian | Pharmacist | 18342 Malden St Unit 6, Northridge, CA 91325-3668 | 2019-02-13 |
| 1164933206 | Jennifer Vi-van To | Pharmacist | 20345 Via Urbino, Northridge, CA 91326-4445 | 2017-10-17 |
| 1861930596 | Arlene Balian | Pharmacist | 8415 Reseda Blvd, Suite 6, Northridge, CA 91324-4642 | 2017-02-01 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1154794899 | Shirlin Baharian | Pharmacist | 17151 Stare St, Northridge, CA 91325-1666 | 2015-11-03 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.