Active NPI
Tram Nguyen
- Pharmacist
- Huntington Beach, CA
National Provider Identifier
1023750296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85066
- Practice address
- 18872 Beach Blvd
Huntington Beach, CA 92648-2008 - Phone
- (714) 378-1452
- NPI assigned
- Apr 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 85066 | CA | Primary |
Addresses
Primary practice location
18872 Beach Blvd
Huntington Beach, CA 92648-2008
Mailing address
18872 Beach Blvd
Huntington Beach, CA 92648-2008
Phone (714) 378-1452
Other practice location 1
15222 Coronado St
Westminster, CA 92683-6363
Phone (714) 725-2110
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85066 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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": "1649376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662768000000",
"number": "1023750296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18872 BEACH BLVD",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926482008",
"telephone_number": "714-378-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18872 BEACH BLVD",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926482008",
"telephone_number": "714-378-1452"
}
],
"practiceLocations": [
{
"address_1": "15222 Coronado St",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CA",
"postal_code": "926836363",
"country_code": "US",
"telephone_number": "714-725-2110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-08",
"last_updated": "2022-09-10",
"certification_date": "2022-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "85066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.