IndividualActive
Reza Khodadadi
NPI 1790324978 · Community/Retail Pharmacy · San Clemente, CA
Reza Khodadadi is a Community/Retail Pharmacy provider in San Clemente, CA (NPI 1790324978).
Provider details
- NPI number
- 1790324978
- Entity type
- Individual
- Primary specialty
- Community/Retail PharmacySuppliers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% 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
638 Camino De Los Mares
San Clemente, CA 92673-2848
Phone: (949) 487-9791
Street-level locationGet directions
Mailing address
17252 Chestnut
Irvine, CA 92612-2351
Registry dates
- Enumerated
- 2020-01-05
- Last updated
- 2020-01-05
- Certified
- 2020-01-05
Frequently asked questions
- What is Reza Khodadadi's NPI number?
- Reza Khodadadi's National Provider Identifier (NPI) is 1790324978, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Reza Khodadadi's specialty?
- Reza Khodadadi is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy (Suppliers).
- Where is Reza Khodadadi located?
- Reza Khodadadi's practice location on file with NPPES is 638 Camino De Los Mares, San Clemente, CA 92673-2848.
- What is Reza Khodadadi's phone number?
- The practice phone number listed in the NPPES registry for Reza Khodadadi is (949) 487-9791.
- Is Reza Khodadadi's NPI active?
- Yes — Reza Khodadadi's NPI (1790324978) is active in the NPPES registry as of the last update on 2020-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.