Active NPI
John Thien Thanh Nguyen
- Pharmacist
- Arleta, CA
National Provider Identifier
1114531704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82389
- Practice address
- 9725 Laurel Canyon Blvd
Arleta, CA 91331-4100 - Phone
- (818) 492-0025
- NPI assigned
- Sep 2, 2020
- 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 | 82389 | CA | Primary |
Addresses
Primary practice location
9725 Laurel Canyon Blvd
Arleta, CA 91331-4100
Mailing address
5720 Via del Potrero
Yorba Linda, CA 92887-3549
Phone (916) 384-5611
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 |
|---|---|---|---|
| 82389 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1114531704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 VIA DEL POTRERO",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928873549",
"telephone_number": "916-384-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9725 LAUREL CANYON BLVD",
"city": "ARLETA",
"state": "CA",
"postal_code": "913314100",
"telephone_number": "818-492-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JOHN",
"middle_name": "THIEN THANH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.