OrganizationActive
San Diego Optimum Compounding
NPI 1386021780 · Pharmacy · Poway, CA
Provider details
- NPI number
- 1386021780
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Maii El-Shatanoufy, Ceo(858) 699-6563
- License
- 53633 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
12265 Scripps Poway Pkwy
Suite 114
Poway, CA 92064-6151
Phone: (858) 699-6563
Approximate (ZIP-level) locationGet directions
Mailing address
12265 Scripps Poway Pkwy
Poway, CA 92064-6151
Registry dates
- Enumerated
- 2015-05-05
- Last updated
- 2015-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.