Active NPI
Luan Nguyen
- Pharmacist
- Concord, CA
National Provider Identifier
1700350691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64184
- Practice address
- 4424 Treat Blvd
Concord, CA 94521-2704 - Phone
- (209) 406-6748
- NPI assigned
- Jan 14, 2019
- 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 | 64184 | CA | Primary |
Addresses
Primary practice location
4424 Treat Blvd
Concord, CA 94521-2704
Mailing address
2950 Bella Dr
Concord, CA 94519-2680
Phone (209) 406-6748
Other practice location 1
2950 Bella Dr
Concord, CA 94519-2680
Phone (209) 406-6748
Other practice location 2
2950 Bella Dr
Concord, CA 94519-2680
Phone (209) 406-6748
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1700350691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 BELLA DR",
"city": "CONCORD",
"state": "CA",
"postal_code": "945192680",
"telephone_number": "209-406-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 TREAT BLVD",
"city": "CONCORD",
"state": "CA",
"postal_code": "945212704",
"telephone_number": "209-406-6748"
}
],
"practiceLocations": [
{
"address_1": "2950 Bella Dr",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "CA",
"postal_code": "945192680",
"country_code": "US",
"telephone_number": "209-406-6748",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2950 Bella Dr",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "CA",
"postal_code": "945192680",
"country_code": "US",
"telephone_number": "209-406-6748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "LUAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.