David Trieu Nguyen

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY54339 Issued in CA

Legal business name

DAVID TRIEU NGUYEN

Doing business as

El Portal Pharmacy

Practice address

2407 Jensen Ave Ste 101
Sanger, CA 93657-2248

Phone

(559) 399-8644

Fax

(559) 399-8643

NPI assigned

Mar 3, 2016

Last updated

Apr 18, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ba HuynhNPI 1013689546

Title

Manager

Phone

(559) 940-4186

Specialties & licenses 3

Addresses

Other names 1

• EL PORTAL PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ba Huynh, PHARM D

  • Pharmacist
  • Merced, CA
  • NPI 1013689546
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1679933535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 JENSEN AVE",
            "address_2": "SUITE 101",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572248",
            "telephone_number": "559-399-8644",
            "fax_number": "559-399-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 JENSEN AVE STE 101",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572248",
            "telephone_number": "559-399-8644",
            "fax_number": "559-399-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID TRIEU NGUYEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "BA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "559-940-4186"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54339",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL PORTAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Sanger Fire Department (Sanger Fire Department)
• Classic Urgent Care a Medical Corporation
• Herbert Lance Crooks, D.D.S.
• Daniel Cuellar
• Tram Ngoc Dang, RPH
• Ignacio N De Alba Ruiz, PTA
• Vanessa De Loera
• Deogsoo Roh, DDS, Inc
• Jasmit Kaur Dhaliwal, PPS
• Kanwer S Dhami, M.D.

• Community/Retail Pharmacy in Sanger, CA
• Providers in Sanger, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.