Active NPI
Perry Tan Nguyen, PHARM.D.
- Pharmacist
- Huntington Park, CA
National Provider Identifier
1013091826
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Nov 19, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH42961
- Practice address
- 2459 E Florence Ave
Huntington Park, CA 90255-5754 - Phone
- (323) 589-4929
- Fax
- (323) 589-3531
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH42961 | CA | Primary |
Addresses
Primary practice location
2459 E Florence Ave
Huntington Park, CA 90255-5754
Mailing address
2459 E Florence Ave
Huntington Park, CA 90255-5754
Phone (323) 589-4929
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA428910 | Other | CA | MEDICAL PROVIDER |
| PHA431820 | Other | CA | MEDICAL PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH42961 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Y Troi Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013091826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2459 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555754",
"telephone_number": "323-589-4929",
"fax_number": "323-589-3531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2459 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555754",
"telephone_number": "323-589-4929",
"fax_number": "323-589-3531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PERRY",
"middle_name": "TAN",
"name_prefix": "Mr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH42961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER",
"identifier": "PHA428910",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER NUMBER",
"identifier": "PHA431820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.