Active NPI
Top Triamwong
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1235697251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79511
- Practice address
- 4618 Fountain Ave
Los Angeles, CA 90029-1977 - Phone
- (323) 953-7170
- NPI assigned
- Mar 8, 2019
- 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 | 79511 | CA | Primary |
Addresses
Primary practice location
4618 Fountain Ave
Los Angeles, CA 90029-1977
Mailing address
950 S Grand Ave FL 2
Los Angeles, CA 90015-3999
Phone (323) 669-4346
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 |
|---|---|---|---|
| 79511 | CA | MD | Community Health Registered Nurse |
Interoperability endpoints
- ttriamwong159226@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1235697251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S GRAND AVE FL 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153999",
"telephone_number": "323-669-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4618 FOUNTAIN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291977",
"telephone_number": "323-953-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIAMWONG",
"first_name": "TOP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-08",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.