Active NPI
Jimmy Nguyen, PHARMD
- Pharmacist
- San Mateo, CA
National Provider Identifier
1124964127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41560
- Practice address
- 3411 La Selva St
San Mateo, CA 94403-3005 - Phone
- (714) 768-7364
- NPI assigned
- Apr 24, 2026
- 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 | 41560 | CA | Primary |
Addresses
Primary practice location
3411 La Selva St
San Mateo, CA 94403-3005
Mailing address
3411 La Selva St
San Mateo, CA 94403-3005
Phone (714) 768-7364
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1124964127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 LA SELVA ST",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944033005",
"telephone_number": "714-768-7364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 LA SELVA ST",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944033005",
"telephone_number": "714-768-7364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JIMMY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "41560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.