COLFAX PHARMACEUTICAL INC
NPI 1336247360
Pharmacy - Community/Retail Pharmacy in Los Angeles, CA

Q: What is Colfax Pharmaceutical Inc's NPI number?

The NPI number for Colfax Pharmaceutical Inc is 1336247360. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Brentwood Plaza Pharmacy.

Q: What is Colfax Pharmaceutical Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since September 21, 2006

11980 SAN VICENTE BLVD, STE 104, LOS ANGELES, CA 90049(310) 820-1496(310) 820-4186 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2025, Apr 28, 2017, Sep 22, 2016 and 2 more (5 updates tracked since 2016).

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About Colfax Pharmaceutical Inc NPPES

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

COLFAX PHARMACEUTICAL INC (NPI 1336247360), doing business as Brentwood Plaza Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Los Angeles, California and active in the NPI registry since September 2006. The organization lists Ben Tehrani, Ceo/pic, as its authorized official.

NPPES Registry Identity

NPI1336247360

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameCOLFAX PHARMACEUTICAL INC

Location Address11980 SAN VICENTE BLVD, STE 104Los Angeles, CA 90049-5012

Mailing Address11980 San Vicente Blvd, Ste 104Los Angeles, CA 90049-5012 · (310) 820-1496 · Fax (310) 820-4186

Phone(310) 820-1496

Fax(310) 820-4186

Organization SubpartNo

Authorized OfficialBen TehraniCeo/pic · (310) 820-1496

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJune 13, 20255 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1336247360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · 51494

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

11980 SAN VICENTE BLVD, Los Angeles, CA 90049

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Other Names 1

Doing Business AsBrentwood Plaza Pharmacy

Other Identifiers 2

Medicaid1336247360CA

Other2141894Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colfax Pharmaceutical Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20160701001092DME · PharmacyDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

98 services95 patients

Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free 90674

The quadrivalent influenza vaccine is a flu shot that protects against four different flu viruses. Derived from cell cultures, it is free of preservatives and antibiotics. It's a safe and effective way to reduce your risk of getting the flu.

42 services42 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

38 services38 patients

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.

DR. DIANA MARCELA MEDINA DDS

Dentist (Oral and Maxillofacial Surgery)

11980 SAN VICENTE BLVD, SUITE 505
LOS ANGELES, CA 90049

Los Angeles County (310) 820-6691

JESSICA SANCHEZ MFT

Marriage & Family Therapist

11980 SAN VICENTE BLVD, SUITE 909
LOS ANGELES, CA 90049

Los Angeles County (424) 293-6679

DR. HOPE W LEVIN MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

11980 SAN VICENTE BLVD, SUITE 809
LOS ANGELES, CA 90049

Los Angeles County (310) 494-0108

DR. CAROL ANN MAYHEW PH.D.

Psychologist (Clinical)

11980 SAN VICENTE BLVD, SUITE 709
LOS ANGELES, CA 90049

Los Angeles County (310) 207-9902

DR. ANURADHA GOMATHY SESHADRI M.D.

Internal Medicine

11980 SAN VICENTE BLVD, STE 102
LOS ANGELES, CA 90049

Los Angeles County (310) 208-7777

REGINA PALLY M.D.

Psychologist (Prescribing (Medical))

11980 SAN VICENTE BLVD, SUITE 810
LOS ANGELES, CA 90049

Los Angeles County (310) 820-2700

ARCHANA M REDDY MD

Family Medicine

11980 SAN VICENTE BLVD, SUITE 102
LOS ANGELES, CA 90049

Los Angeles County (310) 208-7777

ALAN SPIVAK

Psychologist (Clinical)

11980 SAN VICENTE BLVD, STE 712
LOS ANGELES, CA 90049

Los Angeles County (310) 826-1494

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 Colfax Pharmaceutical Inc's NPI number?

The NPI number for Colfax Pharmaceutical Inc is 1336247360. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Brentwood Plaza Pharmacy.

Where is Colfax Pharmaceutical Inc located?

Colfax Pharmaceutical Inc is located at 11980 San Vicente Blvd Ste 104, Los Angeles, CA 90049. The listed phone number is (310) 820-1496.

What is Colfax Pharmaceutical Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Colfax Pharmaceutical Inc enrolled in Medicare?

Yes. Colfax Pharmaceutical Inc is registered in the Medicare PECOS enrollment system.

When is Colfax Pharmaceutical Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Pharmacy) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Colfax Pharmaceutical Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 45 other insurers list Colfax Pharmaceutical Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colfax Pharmaceutical Inc was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.