Active NPI
Amy Lynn Diep, PHARM D
- Pharmacist
- Stockton, CA
National Provider Identifier
1871927392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69212
- Practice address
- University of the Pacific
3601 Pacific Ave
Stockton, CA 95211 - Phone
- (209) 461-3104
- NPI assigned
- Sep 3, 2013
- 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 | 69212 | CA | Primary |
Addresses
Primary practice location
University of the Pacific
3601 Pacific Ave
Stockton, CA 95211
Mailing address
University of the Pacific
3601 Pacific Ave
Stockton, CA 95211
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
- Credentials
- Doctor of Philosophy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69212 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Rancho Cordova, CA
- NPI 1568489268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1871927392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF THE PACIFIC",
"address_2": "3601 PACIFIC AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF THE PACIFIC",
"address_2": "3601 PACIFIC AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95211",
"telephone_number": "209-461-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEP",
"first_name": "AMY",
"middle_name": "LYNN",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.