Active NPI
Nam Khoa Dinh
- Pharmacist
- La Palma, CA
National Provider Identifier
1306598347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85516
- Practice address
- 5420 La Palma Ave
La Palma, CA 90623-1705 - Phone
- (714) 822-3155
- NPI assigned
- Jan 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 85516 | CA | Primary |
Addresses
Primary practice location
5420 La Palma Ave
La Palma, CA 90623-1705
Mailing address
11732 Paloma Ave
Garden Grove, CA 92843-2742
Phone (714) 722-9684
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 |
|---|---|---|---|
| 85516 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- La Palma, CA
- NPI 1750623633
-
- Community/Retail Pharmacy
- Eastvale, CA
- NPI 1770458945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1306598347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11732 PALOMA AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928432742",
"telephone_number": "714-722-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 LA PALMA AVE",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231705",
"telephone_number": "714-822-3155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINH",
"first_name": "NAM",
"middle_name": "KHOA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.