Active NPI
Thai Nguyen
- Pharmacist
- Canyon Country, CA
National Provider Identifier
1578073268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77526
- Practice address
- 19105 Golden Valley Rd
Canyon Country, CA 91387-1428 - Phone
- (714) 280-4444
- NPI assigned
- Oct 6, 2017
- 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 | 77526 | CA | Primary |
Addresses
Primary practice location
19105 Golden Valley Rd
Canyon Country, CA 91387-1428
Mailing address
9315 Bolsa Ave # 378
Westminster, CA 92683-5902
Phone (714) 280-4444
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 |
|---|---|---|---|
| 77526 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729987200000",
"number": "1578073268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9315 BOLSA AVE # 378",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835902",
"telephone_number": "714-280-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19105 GOLDEN VALLEY RD",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913871428",
"telephone_number": "714-280-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THAI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-06",
"last_updated": "2024-10-27",
"certification_date": "2024-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canyon Country, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.