ARSHIN KAVIANI DESTJERDI (NPI# 1184111569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184111569 |
| Entity Type | Individual |
| Full Name | ARSHIN KAVIANI DESTJERDI |
| Credential | BS PHARMACY |
| Practice Address |
729 Sunrise Ave Ste 602 Roseville CA 95661-4542 |
| Mailing Address |
9483 Greenback Ln Apt 222 Folsom CA 95630-2155 |
| Practice Telephone | 9169537571 |
| Mailing Telephone | 9165170701 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 78380 | CA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
78380 | CA | Pharmacy Service Providers |
| Street Address |
729 SUNRISE AVE STE 602 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720056153 | T J Maroon II | Anesthesiology | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2006-03-10 |
| 1548882012 | Benjamin Pearce | Nurse Practitioner | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2020-05-07 |
| 1689224909 | Christopher Duval Phillips | Nurse Practitioner | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2019-09-18 |
| 1790292712 | Sara Niknam | Physician Assistant | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2017-12-29 |
| 1134550213 | Vanessa Kovarik Brown | Nurse Practitioner | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2013-11-27 |
| 1427322635 | Advanced Pain Diagnostic & Solutions, Inc. | Clinic/Center | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2012-03-06 |
| 1639227044 | Victor Manuel Nava | Specialist | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2007-01-08 |
| 1396834560 | R&r Physical Medicine and Rehabilitation Medical Clinic, Inc | Physical Medicine & Rehabilitation | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235601733 | Mihyang Song | Pharmacist | 4001 Impala Cir, Roseville, CA 95678-6744 | 2018-12-20 |
| 1467617720 | Cathy Marie Spencer | Pharmacist | 1752 Terrace Dr, Roseville, MN 55113-1315 | 2008-07-25 |
| 1164069936 | Paul Donald Schroff | Pharmacist | 30851 Gratiot Ave, Roseville, MI 48066-1769 | 2019-11-29 |
| 1346886132 | Roy Toubassi | Pharmacist | 30851 Gratiot Ave, Roseville, MI 48066-1769 | 2019-11-27 |
| 1700422086 | Asobari Amachree | Pharmacist | 26130 Gratiot Ave, Roseville, MI 48066-5111 | 2019-11-21 |
| 1336785658 | Sandy Lotfy Samy-tawdrous | Pharmacist | 20891 E 13 Mile Rd, Roseville, MI 48066-4530 | 2019-11-21 |
| 1568008928 | Jimmy Tran | Pharmacist | 26130 Gratiot Ave, Roseville, MI 48066-5111 | 2019-11-20 |
| 1669980181 | Sukhjeet Singh Hundal | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-01-18 |
| 1134446867 | Melanie Anne Haggard | Pharmacist | 1600 Eureka Rd, Inpatient Pharmacy Administration, Roseville, CA 95661-3027 | 2010-04-20 |
| 1114169497 | Nam Nguyen | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2009-04-01 |
| Find all providers in ROSEVILLE | ||||
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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.