Active NPI
Alan Dang
- Pharmacist
- Fullerton, CA
National Provider Identifier
1174951487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69904
- Practice address
- 1121 N Harbor Blvd
Fullerton, CA 92832-1312 - Phone
- (714) 992-6313
- Fax
- (714) 992-6392
- NPI assigned
- Oct 23, 2013
- Last updated
- May 11, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60393198 | WA | |
| Pharmacist | 183500000X | 69904 | CA | Primary |
Addresses
Primary practice location
1121 N Harbor Blvd
Fullerton, CA 92832-1312
Mailing address
1121 N Harbor Blvd
Fullerton, CA 92832-1312
Phone (714) 992-6313
Other practice location 1
1100 Pacific Coast Hwy
Hermosa Beach, CA 90254-3951
Phone (310) 798-6800
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 |
|---|---|---|---|
| 69904 | CA | MD | Clinical Social Worker |
| PH60393198 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1174951487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 N HARBOR BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321312",
"telephone_number": "714-992-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 N HARBOR BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321312",
"telephone_number": "714-992-6313",
"fax_number": "714-992-6392"
}
],
"practiceLocations": [
{
"address_1": "1100 Pacific Coast Hwy",
"address_purpose": "LOCATION",
"city": "Hermosa Beach",
"state": "CA",
"postal_code": "902543951",
"country_code": "US",
"telephone_number": "310-798-6800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANG",
"first_name": "ALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-23",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60393198",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.