Individual provider Active NPI

Angelline Tu Anh Dao

  • Pharmacist
  • Garden Grove, CA
National Provider Identifier
1700416674
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
80839 Issued in CA
Practice address
9191 Westminster Ave
Garden Grove, CA 92844-2751
Phone
(714) 899-1111
Fax
(714) 899-2808
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 80839 CA Primary

Addresses

Primary practice location

9191 Westminster Ave
Garden Grove, CA 92844-2751

Mailing address

2626 W Dahl LN
Santa Ana, CA 92704-3110
Phone (714) 200-8698

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL computer Health Information Exchange (HIE) WEST GROUP PHARMACEUTICAL CORP

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

LicenseStateTypeSpecialty
80839CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1700416674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 W DAHL LN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043110",
            "telephone_number": "714-200-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442751",
            "telephone_number": "714-899-1111",
            "fax_number": "714-899-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "ANGELLINE",
        "middle_name": "TU ANH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "computer",
            "affiliation": "Y",
            "endpointDescription": "Procare pharmacy work place",
            "affiliationName": "WEST GROUP PHARMACEUTICAL CORP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "health information between doctors, nurses, pharmacists, other health care providers and patients",
            "address_1": "9191 Westminster Ave",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928442751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.