DR. MAZIN BOUSHAKRA (NPI# 1902259518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902259518 |
| Entity Type | Individual |
| Full Name | DR. MAZIN BOUSHAKRA |
| Credential | PHARM.D |
| Practice Address |
3850 Atherton Rd Rocklin CA 95765-3700 |
| Practice Telephone | 9167737227 |
| Mailing Telephone | 9167737227 |
| Mailing Fax Number | 9169600246 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2017-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
70349 | CA | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
70349 | CA | Pharmacy Service Providers |
| Street Address |
3850 ATHERTON RD |
| City | ROCKLIN |
| State | CA |
| Zip Code | 95765-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225481831 | American Health Care | Health Maintenance Organization | 3850 Atherton Rd, Rocklin, CA 95765-3700 | 2016-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537760 | Kristine Reymont | Case Manager/Care Coordinator | 2717 Fleet Circle, Rocklin, CA 95765 | 2018-08-08 |
| 1275063877 | Alicia Marie Yost-cardoza | Registered Nurse | 6459 Cormorant Cir, Rocklin, CA 95765 | 2017-06-15 |
| 1457769457 | Jacob Dean Kelly | Dentist | 5800 Stanford Ranch Rd Ste 900, Rocklin, CA 95765 | 2014-07-23 |
| 1124438270 | Denise L. Buchholz | Physical Therapist | 1924 Mckinley St, Rocklin, CA 95765 | 2014-04-29 |
| 1205198926 | Gay Lee Wilhelm | Registered Nurse | 5508 Rye Court, Rocklin, CA 95765 | 2012-06-08 |
| 1407147341 | Michael Knutson | Dentist | 6518 Lonetree Blvd # 1061, Rocklin, CA 95765 | 2011-04-26 |
| 1184922924 | Stephen S Taft V | Counselor | 6520 Lonetree Blvd # 120, Rocklin, CA 95765 | 2011-03-03 |
| 1326245143 | Susan Kathleen Smith | Counselor | 5402 Sandpiper Ct., Rocklin, CA 95765 | 2007-06-27 |
| 1790986057 | Rebound Rehab Physical Therapy, Inc. | Physical Therapist | 6526 Lonetree Blvd, Rocklin, CA 95765 | 2007-05-31 |
| 1184838351 | Darce Aaron Slate | Dentist | 6512 Lonetree Blvd., Suite # 100, Rocklin, CA 95765 | 2007-05-09 |
| Find all providers in zip 95765 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063402642 | Grover Lee | Pharmacist | 2217 Plaza Dr, Rocklin, CA 95765-4404 | 2005-10-25 |
| 1861518086 | Martin Joseph Mcdonough Jr. | Pharmacist | 2217 Plaza Dr, #300, Rocklin, CA 95765-4404 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594587 | Tsunnum Uzma Malik | Pharmacist | 2527 Royalridge Way, Santa Clara, CA 95051-1243 | 2020-06-26 |
| 1710515580 | Danny Situ | Pharmacist | 261 Capistrano Ave, San Francisco, CA 94112-2501 | 2020-03-29 |
| 1215492277 | En Chiang | Pharmacist | 300 Stein Plaza (wasserman Building) Room 123, Los Angeles, CA 90095-0001 | 2019-02-04 |
| 1366910325 | Queenie Hip Ying Wan | Pharmacist | 13059 Hedda Ln, Cerritos, CA 90703-6145 | 2018-11-07 |
| 1487120861 | Amanda Ju Chuan Chao | Pharmacist | 10964 Wellworth Ave Apt 303, Los Angeles, CA 90024-6230 | 2018-10-23 |
| 1104333772 | Patricia Lee Mcnamee | Pharmacist | 18325 Coastline Dr, Malibu, CA 90265-5729 | 2018-01-04 |
| 1235655457 | Joseph P Gee | Pharmacist | Cosumnes River College Pharmacy Technology Program, 8401 Center Parkway, Sacramento, CA 95823 | 2017-08-18 |
| 1275075087 | Erzsebet Gyorfi-miglecz | Pharmacist | 24236 Bella Ct, Newhall, CA 91321-3923 | 2016-11-10 |
| 1245787035 | Nina Michelle Bemben | Pharmacist | 555 Mission Rock St, #507, San Francisco, CA 94158-2119 | 2016-09-08 |
| 1861845273 | Vahid Bordbar | Pharmacist | 2325 Palos Verdes Dr W Ste 220, Palos Verdes Estates, CA 90274-2777 | 2016-07-20 |
| 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.