Individual provider Active NPI

Hoang Ba Nguyen, PHARMD, MD, PHD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Rosemead, CA
National Provider Identifier
1265091797
Registry record updated Jun 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
53354 Issued in CA
Practice address
3423 Lindy Ave
Rosemead, CA 91770-2201
Phone
(213) 446-2519
NPI assigned
Jun 9, 2019
Last updated
Jun 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 53354 CA Primary

Addresses

Primary practice location

3423 Lindy Ave
Rosemead, CA 91770-2201

Mailing address

3423 Lindy Ave
Rosemead, CA 91770-2201
Phone (213) 446-2519

Other names 1

  • Prof. Hoang Ba Nguyen Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Yes Direct
SOAP URL yes Direct

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)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy, Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
31 Aesthetics & Wellness Inc Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist Current Accepting new patients

Organizations & group practices 1

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": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560038400000",
    "number": "1265091797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 LINDY AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702201",
            "telephone_number": "213-446-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 LINDY AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702201",
            "telephone_number": "213-446-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOANG",
        "middle_name": "BA",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-09",
        "last_updated": "2019-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "53354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Yes",
            "affiliation": "N",
            "endpointDescription": "Yes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3423 Lindy Ave",
            "city": "Rosemead",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917702201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "yes",
            "affiliation": "N",
            "endpointDescription": "yes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3423 Lindy Ave",
            "city": "Rosemead",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917702201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOANG",
            "last_name": "NGUYEN",
            "middle_name": "BA",
            "prefix": "PROF.",
            "credential": "PHARMD, MD, PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.