Active NPI
Sanh Duong
- Pharmacist
- Granite Bay, CA
National Provider Identifier
1669837068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73846
- Practice address
- 4080 Douglas Blvd
Granite Bay, CA 95746-5900 - Phone
- (916) 380-3262
- NPI assigned
- Dec 30, 2015
- 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 | 73846 | CA | Primary |
Addresses
Primary practice location
4080 Douglas Blvd
Granite Bay, CA 95746-5900
Mailing address
PO Box 1327
Elk Grove, CA 95759-1327
Phone (530) 230-8486
Other practice location 1
1120 Forest Ave
Chico, CA 95928-6303
Phone (530) 894-5112
Other practice location 2
2044 Forest Ave
Chico, CA 95928-7619
Phone (530) 899-8650
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 |
|---|---|---|---|
| 73846 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603497600000",
"number": "1669837068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1327",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957591327",
"telephone_number": "530-230-8486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 DOUGLAS BLVD",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957465900",
"telephone_number": "916-380-3262"
}
],
"practiceLocations": [
{
"address_1": "1120 Forest Ave",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959286303",
"country_code": "US",
"telephone_number": "530-894-5112",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2044 Forest Ave",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959287619",
"country_code": "US",
"telephone_number": "530-899-8650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUONG",
"first_name": "SANH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-30",
"last_updated": "2020-10-24",
"certification_date": "2020-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granite Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.