Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

IVAN GONG PHARMD
NPI 1982524203
Pharmacist in San Diego, CA

Active since July 17, 2026
4077 FIFTH AVE, SAN DIEGO, CA 92103(619) 294-8111 Get Directions Write a Review

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivan Gong Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN GONG PHARMD (NPI 1982524203) is an individual pharmacist in San Diego, California, licensed in California (91666) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1982524203
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameIVAN GONGCredential: PHARMD
Location Address4077 FIFTH AVESan Diego, CA 92103-2105
Mailing Address121 Orange StSan Gabriel, CA 91776-2433
Sole ProprietorNo
Enumeration DateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
NPI 1982524203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 91666
Definition
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.
4077 FIFTH AVE, San Diego, CA 92103

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
4077 FIFTH AVE
SAN DIEGO, CA 92103
Clinical Nurse Specialist (Critical Care Medicine)
4077 FIFTH AVE
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
Registered Nurse (Neuroscience)
4077 FIFTH AVE
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE, MER 35
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
Nurse Practitioner (Acute Care)
4077 FIFTH AVE, TRAUMA SERVICES, MER62
SAN DIEGO, CA 92103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Gong's NPI number?

The NPI number for Ivan Gong is 1982524203. It was assigned to this individual provider in the NPPES registry on July 17, 2026.

Where is Ivan Gong located?

Ivan Gong practices at 4077 Fifth Ave, San Diego, CA 92103. The listed phone number is (619) 294-8111.

What is Ivan Gong's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Ivan Gong was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.