Active NPI
Khang Nguyen
- Pharmacist
- South Pasadena, CA
National Provider Identifier
1881102630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64240
- Practice address
- 1526 Mission St
South Pasadena, CA 91030-3216 - Phone
- (626) 799-1414
- Fax
- (626) 799-1414
- NPI assigned
- Jan 15, 2018
- Last updated
- Jan 15, 2018
- 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 | 64240 | CA | Primary |
Addresses
Primary practice location
1526 Mission St
South Pasadena, CA 91030-3216
Mailing address
17620 Gladesworth LN
Canyon Country, CA 91387-3809
Phone (818) 269-0829
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 |
|---|---|---|---|
| 64240 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1881102630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17620 GLADESWORTH LN",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913873809",
"telephone_number": "818-269-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 MISSION ST",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910303216",
"telephone_number": "626-799-1414",
"fax_number": "626-799-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHANG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-15",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.