MICHAEL PHAM (NPI# 1447770599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447770599 |
| Entity Type | Individual |
| Full Name | MICHAEL PHAM |
| Practice Address |
1839 S El Dorado St Stockton CA 95206-2025 |
| Practice Telephone | 2094664275 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 212 I St, Davis, CA 956164213 | 5307584078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619154507 | Michael T Pham | Dentist | 5905 S Eastern Ave Ste 112, Las Vegas, NV 89119-3130 | 2008-01-23 |
| 1932297975 | Michael D. Pham | Nurse Practitioner | 1515 Holcombe Blvd Unit 423, Houston, TX 77030 | 2006-10-11 |
| 1821080474 | Michael Tuan Pham | Optometrist | 10904 Scarsdale Blvd, Ste 140, Houston, TX 77089-6034 | 2005-08-19 |
| 1871190595 | Michael Pham | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-10-06 |
| 1003458837 | Michael Pham | Physician Assistant | 620 W Lexington St, Baltimore, MD 21201-1508 | 2019-10-14 |
| 1205477551 | Michael Pham | Pharmacist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2019-10-07 |
| 1780144709 | Michael Pham | Student in an Organized Health Care Education/Training Program | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2019-03-25 |
| 1215432653 | Michael Pham | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2018-03-28 |
| 1194258996 | Michael Pham | Student in an Organized Health Care Education/Training Program | 7101 S Padre Island Dr, Corpus Christi, TX 78412-4913 | 2017-04-07 |
| 1922462845 | Michael Dang Pham | Ophthalmology | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2016-04-06 |
| Street Address |
1839 S EL DORADO ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95206-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429700 | Hutchison Pharmacies Inc | Pharmacy | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2005-06-28 |
| 1073174710 | Maribel Flores Perez | Counselor | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2019-06-24 |
| 1629634290 | Alexandra Lucila Vargas | Counselor | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2019-05-19 |
| 1588129993 | Kent Franklin Jones | Counselor | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2019-02-11 |
| 1023580206 | Rajbir Kaur Bainiwal | Counselor | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2018-12-27 |
| 1912478801 | Frank Joseph Silva II | Counselor | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2018-12-17 |
| 1740757160 | Tiffany Cole | Counselor | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2018-10-24 |
| 1447748520 | Rochelle Ann Sison | Counselor | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2018-04-25 |
| 1619477239 | Aegis Treatment Center | Substance Abuse Rehabilitation Facility | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2018-02-20 |
| 1558886507 | Linda Nguyen | Counselor | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2017-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760001051 | Family Support Home Care LLC | Home Health | 1872 Gordon Verner Cir, Stockton, CA 95206 | 2020-04-16 |
| 1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
| 1609336882 | Monica Fuentes-rodriguez | Licensed Psychiatric Technician | 7000 N Michael Canlis Blv, Stockton, CA 95206 | 2019-03-22 |
| 1013431972 | Esmeralda Garcia | Behavior Technician | 4508 Janell Ln, Stockton, CA 95206 | 2017-08-01 |
| 1437672722 | Margie Belinda Nudo Aquino | Nurse Practitioner | 3518 Cape York Ct., Stockton, CA 95206 | 2017-07-19 |
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1891175592 | Tracy Ford | Case Manager/Care Coordinator | 1839 S El Dorado Street, Stockton, CA 95206 | 2015-06-08 |
| 1477826212 | Derrick Hardy | Driver | 3819 Wild Rose Ln, Stockton, CA 95206 | 2012-02-09 |
| 1053533117 | Roman Robles | Acupuncturist | 10 E Martin Luther King Jr., Stockton, CA 95206 | 2007-05-02 |
| 1568686830 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1117 S Grant Street, Stockton, CA 95206 | 2007-04-11 |
| Find all providers in zip 95206 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893155 | Tracey Black | Counselor | 130 W Flora St, Stockton, CA 95202-1636 | 2020-08-25 |
| 1699305508 | Juan Robles | Counselor | 1947 N California St # 95204, Stockton, CA 95204-6029 | 2020-01-20 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1821648353 | Kaye Lynn Scott-roy | Counselor | 285 H Rd, Stockton, KS 67669-8889 | 2019-09-17 |
| 1760049043 | Jay Frank Williams | Counselor | 1105 N El Dorado St, Stockton, CA 95202-1305 | 2019-05-22 |
| 1184105462 | Rachelle Diane Wilson | Counselor | 2733 N Sutter St, Stockton, CA 95204-4548 | 2018-08-24 |
| 1568943835 | Heather Lynn Rogers | Counselor | 3990 Black Butte Cir, Stockton, CA 95209-3500 | 2018-08-24 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1760995781 | Dana Lamont Harris | Counselor | 2833 Buckner Ct, Stockton, CA 95207-2302 | 2017-11-13 |
| Find all providers in STOCKTON | ||||
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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.