QUOC PHAM (NPI# 1346571593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346571593 |
| Entity Type | Individual |
| Full Name | QUOC PHAM |
| Practice Address |
2625 Coffee Rd Suite S Modesto CA 95355-2050 |
| Practice Telephone | 2095771200 |
| Practice Fax Number | 2095776517 |
| Mailing Telephone | 2095771200 |
| Mailing Fax Number | 2095776517 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QH0600X |
Spec/Tech, Pathology Specialization: Histology |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275908832 | Quoc Tran Pham | Nurse Practitioner | 13830 Brookhurst St, Garden Grove, CA 92843-3121 | 2015-12-08 |
| 1992016885 | Quoc Van Pham | Emergency Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2010-06-25 |
| Street Address |
2625 COFFEE RD SUITE S |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760985 | Yosemite Pathology Medical Group, Inc | Pathology | 2625 Coffee Rd, Ste S, Modesto, CA 95355-2050 | 2005-06-14 |
| 1245699396 | Eva Glover | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2016-02-17 |
| 1508249764 | Ermias Gebregziabher | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2015-07-07 |
| 1942694047 | John Mbeo | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2015-03-26 |
| 1386050177 | Amanda Sorrell | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2014-07-01 |
| 1669743159 | Ashley N Schulke | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2012-01-16 |
| 1730473794 | John List | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2011-06-07 |
| 1245520600 | Weisheng Xu | Pathology | 2625 Coffee Rd, Modesto, CA 95355-2050 | 2011-04-19 |
| 1427375625 | Kali Freeman | Specialist | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2010-04-27 |
| 1174765721 | Janeen Noelle Buonaccorsi | Dermatology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2009-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 246QH0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Histology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932581824 | Kendra Garchow | Spec/Tech, Pathology | 2625 Coffee Rd Ste S, Modesto, CA 95355-2050 | 2015-06-26 |
| 1407813777 | Histo-path Technical Specialties, Inc | Spec/Tech, Pathology | 961 N Emerald Ave, Ste D, Modesto, CA 95351-1556 | 2006-04-28 |
| 1295356814 | Roger Goorley | Spec/Tech, Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2020-05-05 |
| 1962049239 | Cortney J Allen | Spec/Tech, Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2019-12-05 |
| 1740763135 | Abdul Samad | Spec/Tech, Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2018-09-11 |
| 1063900108 | Tyler Ewing | Spec/Tech, Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2018-04-24 |
| 1023544673 | Bernadette Geronimo | Spec/Tech, Pathology | 4301 N Star Way, Modesto, CA 95356-9262 | 2017-05-02 |
| 1245699396 | Eva Glover | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2016-02-17 |
| 1508249764 | Ermias Gebregziabher | Spec/Tech, Pathology | 2625 Coffee Rd, Suite S, Modesto, CA 95355-2050 | 2015-07-07 |
| 1821470717 | Christopher Weston | Spec/Tech, Pathology | 2625 Coffee Rd Ste S, Modesto, CA 95355-2050 | 2015-06-26 |
| Find all providers in MODESTO | ||||
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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.