Active NPI
Cecelia Vinh Phuong Nguyen, PHARMD
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1912427022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76289
- Practice address
- 735 S Figueroa St
Los Angeles, CA 90017-2571 - Phone
- (213) 330-4544
- NPI assigned
- Jun 21, 2017
- 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 | 76289 | CA | Primary |
Addresses
Primary practice location
735 S Figueroa St
Los Angeles, CA 90017-2571
Mailing address
3535 S la Cienega Blvd
Los Angeles, CA 90016-4407
Phone (310) 895-1132
Other practice location 1
10861 Weyburn Ave
Los Angeles, CA 90024-2957
Phone (310) 893-2361
Other practice location 2
7100 Santa Monica Blvd
West Hollywood, CA 90046-5896
Phone (323) 603-0005
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 Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76289 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | 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.
-
- Pharmacy
- Winston Salem, NC
- NPI 1699797258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1912427022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 S LA CIENEGA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900164407",
"telephone_number": "310-895-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 S FIGUEROA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900172571",
"telephone_number": "213-330-4544"
}
],
"practiceLocations": [
{
"address_1": "10861 Weyburn Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900242957",
"country_code": "US",
"telephone_number": "310-893-2361",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7100 Santa Monica Blvd",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900465896",
"country_code": "US",
"telephone_number": "323-603-0005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "CECELIA VINH",
"middle_name": "PHUONG",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.