SASIPAN JETAWATANA
NPI 1053763144
Pharmacist in Northridge, CA

Active since July 12, 2016
18350 ROSCOE BLVD, NORTHRIDGE, CA 91325(818) 688-5772 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2022, May 12, 2017, Jul 12, 2016 (3 updates tracked since 2016).

About Sasipan Jetawatana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SASIPAN JETAWATANA (NPI 1053763144) is an individual pharmacist in Northridge, California, licensed in California (73148) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1053763144
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSASIPAN JETAWATANA
Location Address18350 ROSCOE BLVDNorthridge, CA 91325-4109
Mailing Address18350 Roscoe Blvd Ste 102Northridge, CA 91325-4193 · (818) 885-7722
Sole ProprietorYes
Enumeration DateJuly 12, 2016
Last NPPES UpdateApril 28, 20223 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
NPI 1053763144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 73148
Definition
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.
18350 ROSCOE BLVD, Northridge, CA 91325

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
18350 ROSCOE BLVD, SUITE 101
NORTHRIDGE, CA 91325
Clinic/Center (Ambulatory Surgical)
18350 ROSCOE BLVD, #318A
NORTHRIDGE, CA 91325
Internal Medicine
18350 ROSCOE BLVD, SUITE 514
NORTHRIDGE, CA 91325
Family Medicine
18350 ROSCOE BLVD, SUITE 600
NORTHRIDGE, CA 91325
Family Medicine
18350 ROSCOE BLVD, SUITE 600
NORTHRIDGE, CA 91325
Otolaryngology (Otology & Neurotology)
18350 ROSCOE BLVD, SUITE 518
NORTHRIDGE, CA 91325
Surgery
18350 ROSCOE BLVD, SUITE #200
NORTHRIDGE, CA 91325
Obstetrics & Gynecology
18350 ROSCOE BLVD, SUITE 405
NORTHRIDGE, CA 91325

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sasipan Jetawatana's NPI number?

The NPI number for Sasipan Jetawatana is 1053763144. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is Sasipan Jetawatana located?

Sasipan Jetawatana practices at 18350 Roscoe Blvd, Northridge, CA 91325. The listed phone number is (818) 688-5772.

What is Sasipan Jetawatana's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Sasipan Jetawatana was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.