Active NPI
Tracy My Nguyen
- Pharmacist
- Anaheim, CA
National Provider Identifier
1750946240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59442
- Practice address
- 5735 E la Palma Ave
Anaheim, CA 92807-2229 - Phone
- (714) 779-2483
- Fax
- (714) 779-7461
- NPI assigned
- May 9, 2019
- Last updated
- May 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59442 | CA | Primary |
Addresses
Primary practice location
5735 E la Palma Ave
Anaheim, CA 92807-2229
Mailing address
5735 E la Palma Ave
Anaheim, CA 92807-2229
Phone (714) 779-2483
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 |
|---|---|---|---|
| 59442 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1750946240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5735 E LA PALMA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072229",
"telephone_number": "714-779-2483",
"fax_number": "714-779-7461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5735 E LA PALMA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072229",
"telephone_number": "714-779-2483",
"fax_number": "714-779-7461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRACY",
"middle_name": "MY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.