Active NPI
Jasmine Nguyen
- Pharmacist
- San Diego, CA
National Provider Identifier
1740988195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65570
- Practice address
- 6395 Rancho Mission Rd Unit 10
San Diego, CA 92108-2022 - Phone
- (469) 579-9585
- NPI assigned
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 86196 | CA | |
| Pharmacist | 183500000X | 65570 | TX | Primary |
Addresses
Primary practice location
6395 Rancho Mission Rd Unit 10
San Diego, CA 92108-2022
Mailing address
6395 Rancho Mission Rd Unit 10
San Diego, CA 92108-2022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34173868 | Other | TX | DRIVER'S LICENSE |
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 |
|---|---|---|---|
| 86196 | CA | MD | Pharmacist |
| 65570 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1740988195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6395 RANCHO MISSION RD UNIT 10",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921082022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6395 RANCHO MISSION RD UNIT 10",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921082022",
"telephone_number": "469-579-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JASMINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86196",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "34173868",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.