Jonathan Baoson Nguyen

Primary specialty

PharmacistTaxonomy code 183500000X

License

72361 Issued in CA

Practice address

12540 McCann Dr
Santa Fe Springs, CA 90670-3337

Phone

(714) 664-0518

NPI assigned

Feb 7, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1013472661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W EDITHIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021305",
            "telephone_number": "714-209-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12540 MCCANN DR",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703337",
            "telephone_number": "714-664-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JONATHAN",
        "middle_name": "BAOSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "72361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Newcomb
• Trent Newman
• Timothy Chock Hin NG, PHARMD
• Tinh VI Ngo, LCSW
• Andy Nguyen
• Quynh Thuy Nguyen, RPH
• Tonya E. Nieves, RAS
• Phyllis Rae Noriega, LCSW
• Patrick O'Neil
• Tyler Joseph O'Reilly, BA, MA (FALL 2025)

• Pharmacist in Santa Fe Springs, CA
• Providers in Santa Fe Springs, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.