JACQUELINE PHAM (NPI# 1114534542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114534542 |
| Entity Type | Individual |
| Full Name | JACQUELINE PHAM |
| Practice Address |
25272 Marguerite Pkwy Mission Viejo CA 92692-2901 |
| Mailing Address |
14 Lucero W Irvine CA 92620-1921 |
| Practice Telephone | 9495819120 |
| Mailing Telephone | 6269917986 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95011232 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20271 Sw Birch St Ste 100, Newport Beach, CA 926601714 | 9495530260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913410 | Jacqueline Khanhlinh Pham | Student in an Organized Health Care Education/Training Program | 10474 La Sombra Ave, Fountain Valley, CA 92708-5211 | 2020-08-17 |
| 1801081120 | Jacqueline T Pham | Pharmacist | 5000 South Fifth Ave, Building 200, Room B 128 F, Hines, IL 60141 | 2007-09-10 |
| 1700909439 | Jacqueline L Pham | Dentist | 1906 Aborn Rd, San Jose, CA 95121-1581 | 2007-04-09 |
| 1508263187 | Jacqueline Robichaud Pham | Pharmacist | 505 City Pkwy W, Pharmacy Management, Orange, CA 92868-2924 | 2014-11-26 |
| 1922360262 | Jacqueline O Pham | Pharmacist | 8155 Sw Hall Blvd, Beaverton, OR 97008-6416 | 2012-06-12 |
| 1609096049 | Jacqueline Tuyen Pham | Dentist | 4649 Buford Hwy, Chamblee, GA 30341 | 2007-04-26 |
| Street Address |
25272 MARGUERITE PKWY |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92692-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578509634 | Garfield Beach Cvs LLC | Pharmacy | 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | 2006-06-20 |
| 1649800913 | Feng Xiao | Nurse Practitioner | 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | 2020-01-24 |
| 1366080517 | Allison Kikue Enomoto | Nurse Practitioner | 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | 2019-12-18 |
| 1326685090 | Aryan Rabbani | Pharmacist | 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | 2019-12-02 |
| 1366008054 | Katayoun Taherian | Pharmacist | 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | 2019-05-17 |
| 1073076881 | Richiel Tolentino | Nurse Practitioner | 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | 2019-04-09 |
| 1386123511 | Nicolas Phetniranh Sengdara | Nurse Practitioner | 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | 2018-08-08 |
| 1386158772 | Stephanie Le | Pharmacist | 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | 2017-11-22 |
| 1649710492 | Cvs Aoc Services, L.L.C. | Audiologist | 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | 2017-02-27 |
| 1780057075 | Roza Kazemi | Pharmacist | 25272 Marguerite Pkwy, Mission Viejo, CA 92692-2901 | 2015-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386177319 | Thomas David Clevenger | Respiratory Therapist, Registered | 27821 Barbate, Mission Viejo, CA 92692 | 2017-04-06 |
| 1679926349 | Advanced Behavioral Learning Environment | Behavioral Analyst | 24522 Aguirre, Mission Viejo, CA 92692 | 2016-07-19 |
| 1619216827 | Podiatry Hotline Inc | Clinic/Center | 20532 El Toro Rd Ste 111, Mission Viejo, CA 92692 | 2013-02-07 |
| 1609165356 | Shota Yamamoto | Radiology | 26161 Marguerite Pkwy Ste A, Mission Viejo, CA 92692 | 2011-04-04 |
| 1376842328 | Orange County Urogynecology, A Medical Corp. | Urology | 25108 Marguerite Pkwy, A-259, Mission Viego, CA 92692 | 2011-03-16 |
| 1528368180 | Jihad Naim Bayaa | Pharmacist | 26406 Lombardy Rd, Mission Viejo, CA 92692 | 2010-10-29 |
| 1588971162 | Emmanuel Angeles, D.d.s., Inc. | Dentist | 32065 Temecula Pkwy, #c, Temecula, CA 92692 | 2010-09-03 |
| 1063670768 | Mission Viejo Dental Associates | Clinic/Center | 25522 Marguerite Parkway, #100, Mission Viejo, CA 92692 | 2008-05-29 |
| 1205001435 | Moroni Chs Inc | Voluntary or Charitable | 21663 Paseo Casiano, Mission Viejo, CA 92692 | 2008-04-29 |
| 1730386988 | Turning Point Treatment Center | Substance Abuse Rehabilitation Facility | 23181 Tiagua Streer, Mission Viejo, CA 92692 | 2007-06-29 |
| Find all providers in zip 92692 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053706341 | Yi-jywe Cheng | Nurse Practitioner | 26611 Lira Cir, Mission Viejo, CA 92691-3321 | 2015-04-02 |
| 1952649089 | Debra Dale Guthridge-lind | Nurse Practitioner | 22881 Mazo, Mission Viejo, CA 92692-1344 | 2013-01-24 |
| 1699094961 | Katherine Amy Yudin | Nurse Practitioner | 42 Melrose Dr, Mission Viejo, CA 92692-5156 | 2010-05-25 |
| 1386130938 | Jennifer Lynn Spignese | Nurse Practitioner | 26800 Crown Valley Pkwy Ste 305, Mission Viejo, CA 92691 | 2018-07-06 |
| 1548613177 | Robin Mary Greb | Nurse Practitioner | 27871 Medical Center Rd Ste 200, Mission Viejo, CA 92691-6406 | 2016-07-19 |
| 1770949513 | Monika Kaniewska | Nurse Practitioner | 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691-8018 | 2016-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92692 |
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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.