Active NPI
Kim Trong Nguyen
- Pharmacist
- San Francisco, CA
National Provider Identifier
1932720828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50295
- Practice address
- 1001 Potrero Ave
San Francisco, CA 94110-3518 - Phone
- (628) 206-0279
- Fax
- (628) 206-0290
- NPI assigned
- May 1, 2020
- 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 | 50295 | CA | Primary |
Addresses
Primary practice location
1001 Potrero Ave
San Francisco, CA 94110-3518
Mailing address
1752 Monticello Rd
San Mateo, CA 94402-4032
Phone (650) 307-2411
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 |
|---|---|---|---|
| 50295 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1932720828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1752 MONTICELLO RD",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944024032",
"telephone_number": "650-307-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 POTRERO AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103518",
"telephone_number": "628-206-0279",
"fax_number": "628-206-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIM",
"middle_name": "TRONG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-01",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.