BRYAN TRUNG PHAM (NPI# 1437576006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437576006 |
| Entity Type | Individual |
| Full Name | BRYAN TRUNG PHAM |
| Practice Address |
58133 29 Palms Hwy Yucca Valley CA 92284-5801 |
| Mailing Address |
3125 E Escoba Dr Apartment #177 Palm Springs CA 92264-5590 |
| Practice Telephone | 7603694615 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 70261 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437717402 | Bryan Pham | Pharmacist | 4816 E 3rd St, Los Angeles, CA 90022-1602 | 2019-06-04 |
| 1043743941 | Bryan Pham | Pharmacist | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2017-04-06 |
| 1154702033 | Bryan Pham | Urology | 1200 Binz St, Ste 690, Houston, TX 77004-6943 | 2015-06-16 |
| 1336406859 | Bryan Van Pham | Ophthalmology | 4500 E 9th Ave Ste 740, Denver, CO 80220-3926 | 2012-04-20 |
| Street Address |
58133 29 PALMS HWY |
| City | YUCCA VALLEY |
| State | CA |
| Zip Code | 92284-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992710289 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 58133 29 Palms Hwy, Yucca Valley, CA 92284-5801 | 2006-07-29 |
| 1265714927 | Maher Michail | Pharmacist | 58133 29 Palms Hwy, Yucca Valley, CA 92284-5801 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646746 | Dawn Irene Blue | Registered Nurse | 55887 Yucca Valley Trail, Yucca Valley, CA 92284 | 2019-09-04 |
| 1659838415 | Lifeline Marketing Group, LLC Kenneth M Folwell Sole Mbr | Genetic Counselor, MS | 57675 Twentynine Palms Hwy, Suite 102, Yucca Valley, CA 92284 | 2019-02-27 |
| 1790240026 | Rosenda Marie Quintero | Case Manager/Care Coordinator | 7281 Dumosa Avneue, Ste 4, Yucca Valley, CA 92284 | 2019-01-31 |
| 1740790617 | Robert Farrer | Pharmacist | 57701 Twentynine Palms Highway, Yucca Valley, CA 92284 | 2017-10-05 |
| 1881128981 | Louis James Medina | Case Manager/Care Coordinator | 58471 Twentynine Palms Hwy #102, Yucca Valley, CA 92284 | 2017-04-14 |
| 1003369620 | Hi -desert Memorial Health Care District | Clinic/Center | 57019 Yucca Trail Ste C, Yucca Valley, CA 92284 | 2016-08-01 |
| 1346639002 | Virginia Susan Mccann | Marriage & Family Therapist | 58945 Business Cernter Drive, Suite D, Yucca Valley, CA 92284 | 2015-01-20 |
| 1578964375 | Desert Oasis Healthcare | Clinic/Center | 57-840 29 Palms Hwy, Yucca Valley, CA 92284 | 2014-09-11 |
| 1306245113 | Katie Z Topper | Nurse Practitioner | 57402 Twentynine Palm Highway, Ste 1, Yucca Valley, CA 92284 | 2014-08-18 |
| 1215347307 | Sandip Patel | Pharmacist | 57701 Twentynine Palms Hwy, Yucca Valley, CA 92284 | 2014-04-29 |
| Find all providers in zip 92284 | ||||
| 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 |
|---|---|---|---|---|
| 1740790617 | Robert Farrer | Pharmacist | 57701 Twentynine Palms Highway, Yucca Valley, CA 92284 | 2017-10-05 |
| 1215347307 | Sandip Patel | Pharmacist | 57701 Twentynine Palms Hwy, Yucca Valley, CA 92284 | 2014-04-29 |
| 1164742888 | Janet Vanessa Marinas Militar | Pharmacist | 57646 29 Palms Hwy, Yucca Valley, CA 92284-3073 | 2010-06-04 |
| 1851571699 | Ariel S Park | Pharmacist | 57701 29 Palms Hwy, Yucca Valley, CA 92284-3066 | 2007-11-09 |
| 1306332671 | Richard Nguyen | Pharmacist | 58501 29 Palms Hwy, Yucca Valley, CA 92284-5765 | 2018-07-10 |
| 1740778737 | Marjan Norouzzadeh | Pharmacist | 58501 29 Palms Hwy, Yucca Valley, CA 92284-5765 | 2018-04-25 |
| 1538657606 | Mina Michael | Pharmacist | 58501 29 Palms Hwy, Yucca Valley, CA 92284-5765 | 2018-04-24 |
| 1851816888 | Yizhou Zheng | Pharmacist | 57590 29 Palms Hwy, Yucca Valley, CA 92284-2934 | 2017-08-10 |
| 1427453505 | Daniel Pak | Pharmacist | 57590 29 Palms Hwy, Yucca Valley, CA 92284-2934 | 2014-10-30 |
| 1689082596 | Roger Allen Smith Jr. | Pharmacist | 57701 29 Palms Hwy, Yucca Valley, CA 92284-3066 | 2014-07-24 |
| Find all providers in YUCCA VALLEY | ||||
| City | YUCCA VALLEY |
| Zip Code | 92284 |
Please comment or provide details below to improve the information on BRYAN TRUNG PHAM.
| 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.