Active NPI
Hai Nguyen
- Pharmacist
- Patton, CA
National Provider Identifier
1215476627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52078
- Practice address
- 3102 E Highland Ave
Patton, CA 92369-7813 - Phone
- (909) 425-7450
- Fax
- (909) 425-6297
- NPI assigned
- Feb 17, 2017
- Last updated
- Feb 17, 2017
- 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 | 52078 | CA | Primary |
Addresses
Primary practice location
3102 E Highland Ave
Patton, CA 92369-7813
Mailing address
11867 Westminster CT
Loma Linda, CA 92354-4175
Phone (909) 831-6556
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 |
|---|---|---|---|
| 52078 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1215476627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11867 WESTMINSTER CT",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923544175",
"telephone_number": "909-831-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 E HIGHLAND AVE",
"city": "PATTON",
"state": "CA",
"postal_code": "923697813",
"telephone_number": "909-425-7450",
"fax_number": "909-425-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HAI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-17",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "52078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Patton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.