Active NPI
Van Nguyen, PHARM. D.
- Psychiatric Pharmacist
- Oakland, CA
National Provider Identifier
1902281199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 76327
- Practice address
- 629 Oakland Ave
Oakland, CA 94611-4567 - Phone
- (510) 671-0908
- NPI assigned
- Jul 29, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 76327 | CA | Primary |
Addresses
Primary practice location
629 Oakland Ave
Oakland, CA 94611-4567
Mailing address
1130 3Rd Ave Apt 908
Oakland, CA 94606-2258
Phone (408) 693-0729
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76327 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1902281199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 3RD AVE APT 908",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946062258",
"telephone_number": "408-693-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 OAKLAND AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114567",
"telephone_number": "510-671-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VAN",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-29",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "CA",
"license": "76327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.