SAN NGOC TA (NPI# 1073978482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073978482 |
| Entity Type | Individual |
| Full Name | SAN NGOC TA |
| Practice Address |
11500 Brookshire Ave Downey CA 90241-4917 |
| Mailing Address |
16191 Tomas Ln Huntington Beach CA 92649-2432 |
| Practice Telephone | 5629045511 |
| Mailing Telephone | 5592615576 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2018-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 19179 | NV | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PH60565451 | WA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 73504 | CA | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH0015000 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619465275 | San Chieu Ta | Social Worker | 2500 Wilcrest Dr, Ste 300, Houston, TX 77042-2754 | 2018-04-28 |
| Street Address |
11500 BROOKSHIRE AVE |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-4917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433551 | Pih Health Hospital Downey | General Acute Care Hospital | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2005-08-09 |
| 1699303172 | Aaron-james Lao | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2020-03-30 |
| 1710515788 | Michelle Tran Nguyen | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2020-03-27 |
| 1902434970 | Xi Chen | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2020-03-27 |
| 1912534157 | Kun-uk David Lee | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2020-03-26 |
| 1386271476 | Jasmine Mistry | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2020-03-26 |
| 1225665391 | Kevin Hsu | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2020-03-26 |
| 1467005603 | Advanced Anesthesia Medical Corp | Anesthesiology | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2019-07-17 |
| 1972161438 | Vickie Tu | Pharmacist | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2019-05-30 |
| 1649737644 | Caelainn Coffman Rhoane | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2019-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043842461 | Paul Yokoyama | Pharmacist | 9542 Dalen Street, Downey, CA 90242 | 2020-02-05 |
| 1982235511 | Steven Kim | Pharmacist | 9521 Dalen St Rm 102, Downey, CA 90242-4847 | 2020-02-02 |
| 1437707569 | Da Kyung Yang | Pharmacist | 9449 Imperial Hwy Bldg A1, Downey, CA 90242-2888 | 2019-09-02 |
| 1851872881 | Karina Theresa Ortiz | Pharmacist | 7737 Allengrove St, Downey, CA 90240-2612 | 2018-08-28 |
| 1760999122 | Briana Stapornkul | Pharmacist | 8612 Stewart and Gray Rd, Downey, CA 90241-5239 | 2018-01-08 |
| 1346766599 | Deyana S Beshir | Pharmacist | 8602 Fontana St, Downey, CA 90241-5227 | 2017-08-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1205360864 | Lesley Vasquez | Pharmacist | 8546 5th St, Downey, CA 90241-3506 | 2017-04-20 |
| 1578000394 | Poonsin Poupongtong | Pharmacist | 9449 Imperial Hwy Bldg A, Downey, CA 90242-2814 | 2017-01-31 |
| 1932555075 | Joseph Girgis | Pharmacist | 8610 Firestone Blvd, Downey, CA 90241-5243 | 2016-05-08 |
| Find all providers in DOWNEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.