DR. KEVIN THANG DINH PHAM (NPI# 1154718021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154718021 |
Entity Type | Individual |
Full Name | DR. KEVIN THANG DINH PHAM |
Credential | DPM |
Practice Address |
1855 N Fair Oaks Ave Ste 200 Pasadena CA 91103-1620 |
Mailing Address |
9392 Russell Ave Garden Grove CA 92844-2354 |
Practice Telephone | 6263986300 |
Practice Fax Number | 6264869693 |
Mailing Telephone | 7146544607 |
Mailing Fax Number | 7145343284 |
Enumeration Date | 2015-04-18 |
Last Update Date | 2020-03-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5401 | CA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1154718021 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
361 Hospital Rd Ste 227, Newport Beach, CA 926633523 | 9496511202 | 9495529493 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356904742 | Kevin Q Pham | Pharmacist | 13191 Hilton Ln, Garden Grove, CA 92843-2222 | 2019-04-21 |
1619472701 | Kevin Van Pham | Optometrist | 2110 Deerwood Ct, Pearland, TX 77581-2284 | 2018-03-29 |
1487963773 | Kevin Hoang Pham | Pharmacist | 14047 W Windsor Ave, Goodyear, AZ 85395-2485 | 2010-10-04 |
1295055747 | Kevin Pham | Pharmacist | 153 E Gladstone St, Azusa, CA 91702-4926 | 2010-06-08 |
1003900705 | Kevin Thang Pham I | Dentist | 7746 Lorraine Ave Ste 204, Stockton, CA 95210-4234 | 2006-10-03 |
1306456702 | Kevin Minh-huy Pham | Dentist | 344 Nw Loop 564 Ste 400, Mineola, TX 75773-1128 | 2020-07-31 |
1811524911 | Kevin Minh Pham | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-03-26 |
1629531868 | Kevin Pham | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2019-04-12 |
1770043481 | Kevin Pham | Behavior Technician | 5762 Bolsa Ave Ste 100, Huntington Beach, CA 92649-1172 | 2019-03-20 |
1235697699 | Kevin Pham | Behavior Technician | 1101 S Winchester Blvd Ste N-260, San Jose, CA 95128-3901 | 2019-03-05 |
Street Address |
1855 N FAIR OAKS AVE STE 200 |
City | PASADENA |
State | CA |
Zip Code | 91103-1620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114982675 | Cathy Lynn Mcelveen | Pediatrics | 1855 N Fair Oaks Ave Ste 200, Pasadena, CA 91103-1620 | 2006-04-19 |
1871094599 | Beatriz Joyce Vasquez | Licensed Vocational Nurse | 1855 N Fair Oaks Ave Ste 200, Pasadena, CA 91103-1620 | 2018-02-27 |
1801335468 | Maria Elizabeth Rios | Registered Nurse | 1855 N Fair Oaks Ave Ste 200, Pasadena, CA 91103-1620 | 2017-02-15 |
1427399583 | Claribell Anyikam | Physician Assistant | 1855 N Fair Oaks Ave Ste 200, Pasadena, CA 91103-1620 | 2013-03-13 |
1851419220 | Alejandra Cruz Astorga | Physician Assistant | 1855 N Fair Oaks Ave Ste 200, Pasadena, CA 91103-1620 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
Find all providers in zip 91103 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659892578 | Sara Shirazi | Podiatrist | 959 E Walnut St Ste 220, Pasadena, CA 91106-5363 | 2017-06-30 |
1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
1528441391 | Jordan R Fein | Podiatrist | 6243 Fairmont Pkwy Ste 203c, Pasadena, TX 77505-4047 | 2015-06-29 |
1144412446 | Jennifer M Lee | Podiatrist | 800 Fairmount Ave Ste 419, Pasadena, CA 91105 | 2007-08-10 |
1154434066 | Edward M. Jacquet IIi | Podiatrist | 5119 Fairmont Parkway, Suite B-2, Pasadena, TX 77505-3759 | 2006-08-16 |
1437154861 | Edward Alan Helfand | Podiatrist | 960 E Green St Ste 254, Pasadena, CA 91106 | 2005-06-13 |
1508427972 | Ktp Foot and Ankle Inc | Podiatrist | 1855 N Fair Oaks Ave # 200, Pasadena, CA 91103-1620 | 2019-06-26 |
1780140764 | Jordan R. Fein Dpm | Podiatrist | 6243 Fairmont Pkwy Ste 203c, Pasadena, TX 77505-4047 | 2019-02-14 |
1376035063 | Jordan R. Fein Dpm, Ms | Podiatrist | 6243 Fairmont Pkwy Ste 203c, Pasadena, TX 77505-4047 | 2018-05-30 |
1740536598 | Hina Shafqat Hassan | Podiatrist | 3692 E Sam Houston Pkwy S, Suite 100, Pasadena, TX 77505-3136 | 2012-07-31 |
Find all providers in PASADENA |
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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.