Active NPI
Ken Ong, PHARM.D.
- Pharmacist
- San Clemente, CA
National Provider Identifier
1972958668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56061
- Practice address
- 989 Avenida Pico
San Clemente, CA 92673-3908 - Phone
- (949) 369-5596
- NPI assigned
- Apr 30, 2016
- Last updated
- Apr 30, 2016
- 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 | 56061 | CA | Primary |
Addresses
Primary practice location
989 Avenida Pico
San Clemente, CA 92673-3908
Mailing address
989 Avenida Pico
San Clemente, CA 92673-3908
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 |
|---|---|---|---|
| 56061 | CA | MD | Medical Physician Assistant |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461974400000",
"number": "1972958668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "989 AVENIDA PICO",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926733908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989 AVENIDA PICO",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926733908",
"telephone_number": "949-369-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONG",
"first_name": "KEN",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-30",
"last_updated": "2016-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.