Active NPI
Victor Yip NG, PHARM D
- Pharmacist
- San Pablo, CA
National Provider Identifier
1942397906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHY34652
- Practice address
- 2023 Vale Rd
Suite 101
San Pablo, CA 94806-3834 - Phone
- (510) 232-2377
- NPI assigned
- Oct 9, 2006
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHY34652 | CA | Primary |
Addresses
Primary practice location
2023 Vale Rd
Suite 101
San Pablo, CA 94806-3834
Mailing address
2023 Vale Road Suite 101
Vale Road Pharmacy
San Pablo, CA 94806-3834
Phone (510) 232-2377
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA346520 | Medicaid | CA | |
| 0579550 | Other | CA | NABP |
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 |
|---|---|---|---|
| PHY34652 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1942397906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 VALE ROAD SUITE 101",
"address_2": "VALE ROAD PHARMACY",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063834",
"telephone_number": "510-232-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 VALE RD",
"address_2": "SUITE 101",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063834",
"telephone_number": "510-232-2377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "VICTOR",
"middle_name": "YIP",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "PHY34652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA346520",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "0579550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.