MEDICARE: DR. DAVID KASPER SAFRAZIAN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2476197	ID
2	183500000X	Pharmacist	91812	CA

General Provider Information

NPI Number	:	1326900671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID KASPER SAFRAZIAN PHARMD

Provider Business Mailing Address
First Line	:	6908 VILAMOURA WAY
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95757-3420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8925 MADISON AVE
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-4009
Country	:	US
Telephone Number	:	916-965-1541
Fax Number	:	916-965-1797

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	02/07/2026

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