Individual provider Active NPI

Ken Thanh Nguyen

  • Critical Care Pharmacist
  • Chula Vista, CA
National Provider Identifier
1902740301
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care PharmacistTaxonomy code 1835C0205X
License
55957 Issued in CA
Practice address
955 Isom CT
Chula Vista, CA 91911-7028
Phone
(619) 793-8095
NPI assigned
Apr 16, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835C0205X 55957 CA Primary

Addresses

Primary practice location

955 Isom CT
Chula Vista, CA 91911-7028

Mailing address

955 Isom CT
Chula Vista, CA 91911-7028
Phone (619) 793-8095

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

LicenseStateTypeSpecialty
55957CAMDCritical Care Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1902740301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 ISOM CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117028",
            "telephone_number": "619-793-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 ISOM CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117028",
            "telephone_number": "619-793-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KEN",
        "middle_name": "THANH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Critical Care",
            "state": "CA",
            "license": "55957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.