Active NPI
Ngoc Han
- Pharmacist
- Mission Viejo, CA
National Provider Identifier
1417434275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76391
- Practice address
- 24500 Alicia Pkwy
Mission Viejo, CA 92691-4508 - Phone
- (949) 583-1278
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- 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 | 76391 | CA | Primary |
Addresses
Primary practice location
24500 Alicia Pkwy
Mission Viejo, CA 92691-4508
Mailing address
1629 W McFadden Ave
Santa Ana, CA 92704-3322
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 |
|---|---|---|---|
| 76391 | CA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1417434275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 W MCFADDEN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927043322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24500 ALICIA PKWY",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926914508",
"telephone_number": "949-583-1278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "NGOC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.