Active NPI
Jadie Cam Trinh, PHARM.D.
- Pharmacist
- Fontana, CA
National Provider Identifier
1053767103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61374
- Practice address
- 9840 Sierra Ave
Fontana, CA 92335-6719 - Phone
- (909) 350-0284
- Fax
- (909) 350-8349
- NPI assigned
- May 8, 2016
- 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 | 61374 | CA | Primary |
Addresses
Primary practice location
9840 Sierra Ave
Fontana, CA 92335-6719
Mailing address
9840 Sierra Ave
Fontana, CA 92335-6719
Phone (909) 350-0284
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 |
|---|---|---|---|
| 61374 | CA | MD | Clinical Social Worker |
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": "1462665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462665600000",
"number": "1053767103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9840 SIERRA AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923356719",
"telephone_number": "909-350-0284",
"fax_number": "909-350-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9840 SIERRA AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923356719",
"telephone_number": "909-350-0284",
"fax_number": "909-350-8349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINH",
"first_name": "JADIE",
"middle_name": "CAM",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-08",
"last_updated": "2016-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.