Active NPI
Diem Chau Hoang
- Pharmacist
- Rancho Cucamonga, CA
National Provider Identifier
1154810943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69464
- Practice address
- 7170 Day Creek Blvd
Rancho Cucamonga, CA 91739-8821 - Phone
- (909) 463-7843
- NPI assigned
- May 7, 2018
- 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 | 69464 | CA | Primary |
Addresses
Primary practice location
7170 Day Creek Blvd
Rancho Cucamonga, CA 91739-8821
Mailing address
6811 Landriano PL
Rancho Cucamonga, CA 91701-8598
Phone (818) 564-5884
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 |
|---|---|---|---|
| 69464 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625961600000",
"number": "1154810943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6811 LANDRIANO PL",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917018598",
"telephone_number": "818-564-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7170 DAY CREEK BLVD",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917398821",
"telephone_number": "909-463-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "DIEM CHAU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2021-07-11",
"certification_date": "2021-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.