Active NPI
Vuong Q Nguyen, PHARM.D
- Oncology Pharmacist
- Manteca, CA
National Provider Identifier
1508941022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- RPH 46719
- Practice address
- 1777 W Yosemite Ave
Manteca, CA 95337-5187 - Phone
- (209) 406-9944
- Fax
- (209) 825-3617
- NPI assigned
- Oct 25, 2006
- 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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | RPH 46719 | CA | Primary |
Addresses
Primary practice location
1777 W Yosemite Ave
Manteca, CA 95337-5187
Mailing address
1330 Como Dr
Manteca, CA 95337-8471
Phone (209) 406-9944
Other practice location 1
4601 dale road , third floor
pharmacy #854
modesto, CA 95356-9766
Phone (209) 735-3030
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.syc/ncalceg | Health Information Exchange (HIE) | |
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 46719 | CA | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1508941022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 COMO DR",
"city": "MANTECA",
"state": "CA",
"postal_code": "953378471",
"telephone_number": "209-406-9944",
"fax_number": "209-825-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 W YOSEMITE AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953375187",
"telephone_number": "209-406-9944",
"fax_number": "209-825-3617"
}
],
"practiceLocations": [
{
"address_1": "4601 dale road , third floor",
"address_2": "pharmacy #854",
"address_purpose": "LOCATION",
"city": "modesto",
"state": "CA",
"postal_code": "953569766",
"country_code": "US",
"telephone_number": "209-735-3030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "VUONG",
"middle_name": "Q",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CA",
"license": "RPH 46719",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.syc/ncalceg",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1777 W Yosemite Ave",
"city": "Manteca",
"state": "CA",
"country_code": "US",
"postal_code": "953375187",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1777 W Yosemite Ave",
"city": "Manteca",
"state": "CA",
"country_code": "US",
"postal_code": "953375187",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.