Active NPI
Alan Trieu Nguyen Nguyen
- Geriatric Pharmacist
- Fresno, CA
National Provider Identifier
1356802359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 77599
- Practice address
- 4727 W Shaw Ave
Fresno, CA 93722-6209 - Phone
- (855) 339-1066
- NPI assigned
- Mar 31, 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 77599 | CA | Primary |
Addresses
Primary practice location
4727 W Shaw Ave
Fresno, CA 93722-6209
Mailing address
6245 44TH St
Sacramento, CA 95824-3830
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 |
|---|---|---|---|
| 77599 | CA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553990400000",
"number": "1356802359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6245 44TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958243830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4727 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937226209",
"telephone_number": "855-339-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ALAN",
"middle_name": "TRIEU NGUYEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-31",
"last_updated": "2019-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "77599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.