VISHAL V DESAI (NPI# 1518197607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518197607 |
| Entity Type | Individual |
| Full Name | VISHAL V DESAI |
| Practice Address |
15025, Olympic Drive Clearlake CA 95422 |
| Mailing Address |
Po Box 6781 Clearlake CA 95422-6781 |
| Practice Telephone | 7079948677 |
| Practice Fax Number | 7079945003 |
| Mailing Telephone | 6319655108 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | INT22944 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902251424 | Vishal Ajitkumar Desai | Pharmacist | 352 France St, Rocky Hill, CT 06067-2806 | 2016-05-03 |
| 1104189661 | Vishal Desai | Internal Medicine | 2 Trans Am Plaza Dr., Ste 100, Chicago, IL 60611-3281 | 2012-06-20 |
| 1194325209 | Vishal Desai | Pharmacist | 859 Clifton Ave, Clifton, NJ 07013-1715 | 2020-10-28 |
| 1073074027 | Vishal Shwetal Desai | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2019-03-30 |
| 1598262479 | Vishal Sanjay Desai | Student in an Organized Health Care Education/Training Program | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2018-04-09 |
| 1063774776 | Vishal Desai | Radiology | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2012-06-10 |
| Street Address |
15025, OLYMPIC DRIVE |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
| 1154501047 | Jay El Tillman | Counselor | 6885 Old Hwy 53, Clearlake, CA 95422 | 2007-11-07 |
| Find all providers in zip 95422 | ||||
| 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 |
|---|---|---|---|---|
| 1699119792 | Elizabeth Parker | Pharmacist | 15025 Olympic Dr, Clearlake, CA 95422-9526 | 2013-04-19 |
| 1760536080 | Greg W Davis | Pharmacist | 2655 Mediros Ln, Clearlake, CA 95422-8179 | 2007-01-23 |
| 1962043174 | Srikanth Mudumba | Pharmacist | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 | 2019-09-30 |
| 1457811903 | Huong Thu Huynh | Pharmacist | 15025 Olympic Dr, Clearlake, CA 95422-9526 | 2019-03-21 |
| 1114334299 | Jasmine Lau | Pharmacist | 15960 Dam Rd, Clearlake, CA 95422-7906 | 2014-07-21 |
| 1760895007 | Ryan Priest | Pharmacist | 15025 Olympic Dr, Clearlake, CA 95422-9526 | 2014-06-04 |
| 1699188169 | Cindy Chen | Pharmacist | 15025 Olympic Dr, Clearlake, CA 95422-9526 | 2014-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942023 | Kevin Thach Le | Pharmacist | 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 | 2020-11-08 |
| 1902407836 | Christina Tochau Nguyen | Pharmacist | 5219 Rainwood St, Simi Valley, CA 93063-5019 | 2020-11-06 |
| 1487255626 | Olakitan Adegbesan | Pharmacist | 1525 254th St, Harbor City, CA 90710-2716 | 2020-11-04 |
| 1043811516 | Anthony Luu | Pharmacist | 22231 Hazel Crst, Mission Viejo, CA 92692-1086 | 2020-11-02 |
| 1780284315 | Sally Berresse | Pharmacist | 21921 Long Trot Dr, Escondido, CA 92029-5936 | 2020-11-01 |
| 1306446935 | Ryan Tran | Pharmacist | 81875 Avenue 48 Apt 171, Indio, CA 92201-6720 | 2020-11-01 |
| 1003416686 | Marleyna Daughters | Pharmacist | 25 Saint Paul Ln, Laguna Niguel, CA 92677-9374 | 2020-10-31 |
| 1740880772 | Lori Ann Vrabel | Pharmacist | 17 Del Rio Ct, Saint Helena, CA 94574-1246 | 2020-10-28 |
| 1508466806 | Denise Yeung | Pharmacist | 2571 Evergreen Dr, San Bruno, CA 94066-1715 | 2020-10-27 |
| 1588264915 | Christina Thanh Nguyen | Pharmacist | 1810 W Moore Ave, Santa Ana, CA 92704-6131 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.