IndividualActive
Sasipan Jetawatana
NPI 1053763144 · Pharmacist · Northridge, CA
Sasipan Jetawatana is a Pharmacist provider in Northridge, CA (NPI 1053763144).
Provider details
- NPI number
- 1053763144
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 73148 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18350 Roscoe Blvd
Northridge, CA 91325-4109
Phone: (818) 688-5772
Street-level locationGet directions
Mailing address
18350 Roscoe Blvd Ste 102
Northridge, CA 91325-4193
Registry dates
- Enumerated
- 2016-07-12
- Last updated
- 2022-04-28
- Certified
- 2022-04-28
Frequently asked questions
- What is Sasipan Jetawatana's NPI number?
- Sasipan Jetawatana's National Provider Identifier (NPI) is 1053763144, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sasipan Jetawatana's specialty?
- Sasipan Jetawatana is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Sasipan Jetawatana located?
- Sasipan Jetawatana's practice location on file with NPPES is 18350 Roscoe Blvd, Northridge, CA 91325-4109.
- What is Sasipan Jetawatana's phone number?
- The practice phone number listed in the NPPES registry for Sasipan Jetawatana is (818) 688-5772.
- Is Sasipan Jetawatana's NPI active?
- Yes — Sasipan Jetawatana's NPI (1053763144) is active in the NPPES registry as of the last update on 2022-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.