Active NPI
Cong Minh Phi
- Pharmacist
- Huntington Beach, CA
National Provider Identifier
1104315852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59220
- Practice address
- 8230 Talbert Ave
Huntington Beach, CA 92646-1545 - Phone
- (714) 846-3681
- NPI assigned
- May 8, 2018
- Sex
- Male
- 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 | 59220 | CA | Primary |
Addresses
Primary practice location
8230 Talbert Ave
Huntington Beach, CA 92646-1545
Mailing address
11412 Delphinium Ave
Fountain Valley, CA 92708-1713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255522 | Other | NABP |
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 |
|---|---|---|---|
| 59220 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1104315852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11412 DELPHINIUM AVE",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8230 TALBERT AVE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926461545",
"telephone_number": "714-846-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHI",
"first_name": "CONG MINH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-08",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "255522",
"state": null
}
],
"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 May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.