Active NPI
Pauline Dung Doan
- Pharmacist
- Victorville, CA
National Provider Identifier
1700201050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69905
- Practice address
- 16120 Bear Valley Rd
Victorville, CA 92395-8706 - Phone
- (714) 469-7943
- NPI assigned
- Feb 24, 2014
- 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 | 69905 | CA | Primary |
Addresses
Primary practice location
16120 Bear Valley Rd
Victorville, CA 92395-8706
Mailing address
13632 Nassau Dr
Victorville, CA 92395-5333
Phone (714) 469-7943
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 |
|---|---|---|---|
| 69905 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1700201050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13632 NASSAU DR",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955333",
"telephone_number": "714-469-7943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16120 BEAR VALLEY RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923958706",
"telephone_number": "714-469-7943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "PAULINE",
"middle_name": "DUNG",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-24",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69905",
"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 Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.