Active NPI
Michelle Mae Ambrocio Tandoc, PHARM D
- Pharmacist
- Pomona, CA
National Provider Identifier
1093522484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75211
- Practice address
- 2008 N Garey Ave
Pomona, CA 91767-2722 - Phone
- (909) 784-0819
- NPI assigned
- Dec 18, 2024
- Last updated
- Dec 18, 2024
- Sex
- Female
- 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 | 75211 | CA | Primary |
Addresses
Primary practice location
2008 N Garey Ave
Pomona, CA 91767-2722
Mailing address
719 W Patterson St
Long Beach, CA 90806-2545
Phone (562) 277-3097
Other practice location 1
2677 N Main St
Santa Ana, CA 92705-6623
Phone (657) 232-7819
Other practice location 2
8352 Commonwealth Ave
Buena Park, CA 90621-2526
Phone (714) 735-5915
Other practice location 3
11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674
Phone (562) 222-8049
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 |
|---|---|---|---|
| 75211 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1093522484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 W PATTERSON ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062545",
"telephone_number": "562-277-3097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 N GAREY AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917672722",
"telephone_number": "909-784-0819"
}
],
"practiceLocations": [
{
"address_1": "2677 N Main St",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927056623",
"country_code": "US",
"telephone_number": "657-232-7819",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8352 Commonwealth Ave",
"address_purpose": "LOCATION",
"city": "Buena Park",
"state": "CA",
"postal_code": "906212526",
"country_code": "US",
"telephone_number": "714-735-5915",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11721 Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Santa Fe Springs",
"state": "CA",
"postal_code": "906703674",
"country_code": "US",
"telephone_number": "562-222-8049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANDOC",
"first_name": "MICHELLE MAE",
"middle_name": "AMBROCIO",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-18",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.