Healthcare Provider Details

I. General information

NPI: 1447530993
Provider Name (Legal Business Name): DANIEL FARNAM TORBATI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2011
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2693 FRUITVALE AVE
OAKLAND CA
94601-2034
US

IV. Provider business mailing address

2693 FRUITVALE AVE
OAKLAND CA
94601-2034
US

V. Phone/Fax

Practice location:
  • Phone: 510-330-4906
  • Fax: 510-330-4902
Mailing address:
  • Phone: 510-330-4906
  • Fax: 510-330-4902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number56889
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number37889
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: