CSU DOMINGUEZ HILLS PHARMACY (NPI# 1457483083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457483083 |
| Entity Type | Organization |
| Organization Name | CSU DOMINGUEZ HILLS PHARMACY |
| Practice Address |
1000 E Victoria St Carson CA 90747-0001 |
| Practice Telephone | 3102433194 |
| Practice Fax Number | 3102436990 |
| Mailing Telephone | 3102433194 |
| Mailing Fax Number | 3102436990 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | CLYDE FUGAMI (PHARMACIST) |
| Authorized Official Telephone | 3102433194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
CA | Ambulatory Health Care Facilities |
| Street Address |
1000 E VICTORIA ST |
| City | CARSON |
| State | CA |
| Zip Code | 90747-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265530406 | Timothy Patrick Mcguire | Specialist | 1000 E Victoria St, Carson, CA 90747-0001 | 2006-09-20 |
| 1427409077 | Ashley Musick | Specialist/Technologist | 1000 E Victoria St, Carson, CA 90747-0001 | 2016-06-24 |
| 1366844359 | Margaret Marquardt | Nurse Practitioner | 1000 E Victoria St, Carson, CA 90747-0001 | 2014-09-22 |
| 1538451315 | Miriam Carrie Wasserman | Occupational Therapist | 1000 E Victoria St, Carson, CA 90747-0001 | 2011-05-11 |
| 1730309360 | Irina Gaal | Emergency Medicine | 1000 E Victoria St, Csudh - Student Health Center, Carson, CA 90747-0001 | 2007-04-26 |
| 1710051438 | Lauren Outland | Registered Nurse | 1000 E Victoria St, School of Nursing, Carson, CA 90747-0001 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619121316 | Darryl Lee | Dermatology | 1000 East Victoria Street, Carson, CA 90747 | 2008-11-07 |
| 1336249978 | Ethan M Kreiswirth | Specialist | Cal State Dominguez Hls, 1000 E. Victoria St., Carson, CA 90747-0001 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1871191932 | One Family Health Enterprise | PACE Provider Organization | 206 E 185th St, Carson, CA 90746-1706 | 2020-10-12 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
| 1508473992 | Brenshellys Home Care LLC | In Home Supportive Care | 17419 Wellfleet Ave, Carson, CA 90746-1656 | 2020-09-29 |
| 1427665215 | Denise Angela Gutierrez | Behavior Technician | 20208 Nestor Ave, Carson, CA 90746-3128 | 2020-09-25 |
| 1790396372 | Rooted Rehabilitation LLC | Home Health | 849 E Victoria St Unit 609, Carson, CA 90746-1558 | 2020-08-16 |
| 1124639224 | Amalia Racca Racimo | Nurse Practitioner | 1433 Paseo Vera St, Carson, CA 90745-5600 | 2020-08-12 |
| 1144831371 | Raymond Smith II | Adult Companion | 17117 Saldee Dr, Carson, CA 90746-1156 | 2020-08-11 |
| 1801404199 | Covering With Care | Prosthetic/Orthotic Supplier | 21350 Avalon Blvd Unit 5039, Carson, CA 90749-7032 | 2020-07-22 |
| 1497373641 | Planned Parenthood Los Angeles | Clinic/Center | 661 E University Dr, Carson, CA 90746-1966 | 2020-07-13 |
| Find all providers in CARSON | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756103 | Wonderful Center for Health Innovation Inc | Clinic/Center | 14848 Lamberson Ave, Lost Hills, CA 93249 | 2020-10-06 |
| 1811452493 | Wonderful Center for Health Innovation Inc | Clinic/Center | 2070 Veneto St, Delano, CA 93215-9122 | 2019-02-07 |
| 1386134815 | Ventura County Community College District | Clinic/Center | 4667 Telegraph Road, Ventura, CA 93003-3872 | 2018-05-10 |
| 1104339761 | Kern Community College District | Clinic/Center | 1801 Panorama Dr, Bakersfield, CA 93305-1219 | 2017-11-06 |
| 1104342393 | Yosemite Community College District | Clinic/Center | 11600 Columbia College Dr, Sonora, CA 95370-8560 | 2017-08-18 |
| 1750813663 | Yosemite Community College District | Clinic/Center | 435 College Ave, Modesto, CA 95350-5808 | 2017-03-30 |
| 1275937682 | Emmons Student Wellness Center | Clinic/Center | 1600 Campus Rd # F-57, Emmons Wellness Center, Los Angeles, CA 90041-3314 | 2014-10-14 |
| 1083036495 | Nora Anderson | Clinic/Center | 1603 Merion Way, 42 G, Seal Beach, CA 90740-4984 | 2014-01-21 |
| 1386082766 | Esteban E. Torres High School Clinic | Clinic/Center | 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 | 2013-06-07 |
| 1770920787 | Allan Hancock College | Clinic/Center | 800 S College Dr, Santa Maria, CA 93454-6399 | 2013-05-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CSU DOMINGUEZ HILLS PHARMACY.
| 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.