Active NPI
Kimberly Thien Ong
- Pharmacist
- Dana Point, CA
National Provider Identifier
1902659568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89248
- Practice address
- 32575 Golden Lantern St
Dana Point, CA 92629-3248 - Phone
- (949) 248-4803
- NPI assigned
- Apr 11, 2024
- Sex
- Female
- 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 | 89248 | CA | Primary |
Addresses
Primary practice location
32575 Golden Lantern St
Dana Point, CA 92629-3248
Mailing address
5525 Allendale Dr
Riverside, CA 92507-8480
Phone (951) 880-4466
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 |
|---|---|---|---|
| 89248 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1902659568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 ALLENDALE DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925078480",
"telephone_number": "951-880-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32575 GOLDEN LANTERN ST",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926293248",
"telephone_number": "949-248-4803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONG",
"first_name": "KIMBERLY",
"middle_name": "THIEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-11",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "89248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.