Active NPI
Diem Trieu
- Pharmacist
- San Bernardino, CA
National Provider Identifier
1497156277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH61910
- Practice address
- 2045 E Highland Ave
San Bernardino, CA 92404-4625 - Phone
- (909) 863-3064
- Fax
- (909) 863-3054
- NPI assigned
- Sep 11, 2014
- 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 | RPH61910 | CA | Primary |
Addresses
Primary practice location
2045 E Highland Ave
San Bernardino, CA 92404-4625
Mailing address
7690 Kent St
Highland, CA 92346-6370
Phone (714) 718-9460
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 |
|---|---|---|---|
| RPH61910 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1497156277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7690 KENT ST",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "923466370",
"telephone_number": "714-718-9460",
"fax_number": "909-863-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 E HIGHLAND AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044625",
"telephone_number": "909-863-3064",
"fax_number": "909-863-3054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIEU",
"first_name": "DIEM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH61910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.