Active NPI
Albert Diep
- Pharmacist
- Stockton, CA
National Provider Identifier
1336787001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77617
- Practice address
- 1832 Del Rio Dr
Stockton, CA 95204-1718 - Phone
- (714) 272-4658
- NPI assigned
- Dec 12, 2019
- 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 | 77617 | CA | Primary |
Addresses
Primary practice location
1832 Del Rio Dr
Stockton, CA 95204-1718
Mailing address
1832 Del Rio Dr
Stockton, CA 95204-1718
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 |
|---|---|---|---|
| 77617 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1336787001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1832 DEL RIO DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952041718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1832 DEL RIO DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952041718",
"telephone_number": "714-272-4658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEP",
"first_name": "ALBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-12",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.