Active NPI
Danggiao Phan, PHARMD
- Pharmacist
- Victorville, CA
National Provider Identifier
1700192374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61955
- Practice address
- 13255 Rolling Hills Rd
Victorville, CA 92395-8622 - Phone
- (714) 932-9097
- NPI assigned
- Aug 20, 2010
- Last updated
- Aug 20, 2010
- Sex
- Female
- 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 | 61955 | CA | Primary |
Addresses
Primary practice location
13255 Rolling Hills Rd
Victorville, CA 92395-8622
Mailing address
13255 Rolling Hills Lane
Victorville, CA 92395
Phone (714) 932-9097
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1700192374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13255 ROLLING HILLS LANE",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92395",
"telephone_number": "714-932-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13255 ROLLING HILLS RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923958622",
"telephone_number": "714-932-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "DANGGIAO",
"name_prefix": "Miss",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.