Active NPI
Dustin Trong Nguyen, PHARM.D.
- Pharmacist
- La Mesa, CA
National Provider Identifier
1023545779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68718
- Practice address
- 5555 Grossmont Center Drive
A217
La Mesa, CA 91942 - Phone
- (619) 740-4451
- Fax
- (619) 740-4354
- NPI assigned
- May 12, 2017
- 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 | 68718 | CA | Primary |
Addresses
Primary practice location
5555 Grossmont Center Drive
A217
La Mesa, CA 91942
Mailing address
3901 W. El Rancho Ave
Apt. C
Orange, CA 92868
Phone (714) 654-1178
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68718 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1023545779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 W. EL RANCHO AVE",
"address_2": "APT. C",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-654-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 GROSSMONT CENTER DRIVE",
"address_2": "A217",
"city": "LA MESA",
"state": "CA",
"postal_code": "91942",
"telephone_number": "619-740-4451",
"fax_number": "619-740-4354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DUSTIN",
"middle_name": "TRONG",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-12",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "68718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.