Active NPI
Lam N Nguyen
- Pharmacist
- Lake Forest, CA
National Provider Identifier
1447817317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60878
- Practice address
- 21761 Lake Forest Dr
Lake Forest, CA 92630-2784 - Phone
- (949) 855-8307
- Fax
- (949) 855-9564
- NPI assigned
- May 24, 2019
- Sex
- Male
- 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 | 60878 | CA | Primary |
Addresses
Primary practice location
21761 Lake Forest Dr
Lake Forest, CA 92630-2784
Mailing address
2538 N Hesperian St
Santa Ana, CA 92706-1434
Phone (714) 467-7600
Other names 1
- Lam N Nguyen
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 |
|---|---|---|---|
| 60878 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1447817317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2538 N HESPERIAN ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927061434",
"telephone_number": "714-467-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21761 LAKE FOREST DR",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926302784",
"telephone_number": "949-855-8307",
"fax_number": "949-855-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LAM",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAM",
"last_name": "NGUYEN",
"middle_name": "N",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.