Active NPI
Tin Trung Nguyen
- Pharmacy
- Huntington Beach, CA
National Provider Identifier
1609522432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 85960
- Practice address
- 5182 Goldenrod Cir
Huntington Beach, CA 92649-4580 - Phone
- (714) 872-6392
- NPI assigned
- Mar 2, 2022
- 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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | 85960 | CA | Primary |
Addresses
Primary practice location
5182 Goldenrod Cir
Huntington Beach, CA 92649-4580
Mailing address
5182 Goldenrod Cir
Huntington Beach, CA 92649-4580
Phone (714) 872-6392
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 |
|---|---|---|---|
| 85960 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1609522432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5182 GOLDENROD CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926494580",
"telephone_number": "714-872-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5182 GOLDENROD CIR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926494580",
"telephone_number": "714-872-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TIN",
"middle_name": "TRUNG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-02",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "85960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.