TRUNG MINH PHAM (NPI# 1457704702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457704702 |
| Entity Type | Individual |
| Full Name | TRUNG MINH PHAM |
| Practice Address |
15700 S Western Ave Gardena CA 90247-3702 |
| Mailing Address |
15212 Davenport St Tustin CA 92782-1752 |
| Practice Telephone | 3105383131 |
| Practice Fax Number | 3105383627 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 66268 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427456615 | Trung Tan Pham | Physical Therapist | 8257 Hopewell Dr, Elk Grove, CA 95757-6287 | 2014-12-20 |
| 1851355101 | Trung Ngoc Pham | Family Medicine | 9118 Bolsa Ave, Westminster, CA 92683-5533 | 2006-04-13 |
| 1700851052 | Trung H Pham | Emergency Medicine | 10016 S Mingo Rd Ste A, Tulsa, OK 74133-5789 | 2006-02-21 |
| 1194222422 | Trung Pham | Internal Medicine | 1044 Belmont Ave, Youngstown, OH 44501 | 2018-04-12 |
| 1104324235 | Trung V. Pham | Dental Hygienist | 1200 12th Ave S Ste 401, Seattle, WA 98144-2730 | 2018-01-23 |
| 1255865366 | Trung Quoc Pham | Student in an Organized Health Care Education/Training Program | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2017-04-14 |
| 1083054480 | Trung Duc Pham | Pharmacist | 6615 Ne Glisan St, Portland, OR 97213-5068 | 2013-06-28 |
| 1962787093 | Trung Pham | Pharmacist | 522 Orange St, Redlands, CA 92374-3208 | 2011-10-20 |
| 1982997417 | Trung Hoang Minh Pham | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2011-05-17 |
| 1063623122 | Trung Thanh Pham | Physical Therapist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2007-05-24 |
| Street Address |
15700 S WESTERN AVE |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316988298 | Garfield Beach Cvs LLC | Pharmacy | 15700 S Western Ave, Gardena, CA 90247-3702 | 2006-06-09 |
| 1700449634 | Thu-nguyet Nguyen | Pharmacist | 15700 S Western Ave, Gardena, CA 90247-3702 | 2019-04-16 |
| 1861945198 | Michelle Meegie Kim | Pharmacist | 15700 S Western Ave, Gardena, CA 90247-3702 | 2016-08-03 |
| 1629421003 | Rosanara Matthews | Pharmacist | 15700 S Western Ave, Gardena, CA 90247-3702 | 2016-07-20 |
| 1447603857 | Mindy Dang Cao | Pharmacist | 15700 S Western Ave, Gardena, CA 90247-3702 | 2016-07-20 |
| 1982054086 | Tom Luu | Pharmacist | 15700 S Western Ave, Gardena, CA 90247-3702 | 2016-06-20 |
| 1356778351 | Henry O Delu Jr. | Pharmacist | 15700 S Western Ave, Gardena, CA 90247-3702 | 2013-10-04 |
| 1548427313 | Stephen Cho | Pharmacist | 15700 S Western Ave, Gardena, CA 90247-3702 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| 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 |
|---|---|---|---|---|
| 1295341097 | Patrick Dale Jackson | Pharmacist | 19300 S Hamilton Ave Ste 170-180, Gardena, CA 90248-4400 | 2020-09-17 |
| 1699399212 | Maksida Sabackic | Pharmacist | 19300 S Hamilton Ave Ste 170180, Gardena, CA 90248-4400 | 2020-05-29 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1306389218 | David Ramiro Lopez | Pharmacist | 1341 W 160th St, Gardena, CA 90247-4411 | 2016-11-24 |
| 1659746899 | Sandra Shibuyama | Pharmacist | 1620 Marine Avenue, Gardena, CA 90247-3108 | 2015-12-12 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1902146897 | Alice C Cheng | Pharmacist | 19300 S Hamilton Ave Ste 170, Gardena, CA 90248-4411 | 2013-02-28 |
| 1073590378 | Samuel K Nkansah | Pharmacist | 14111 Van Ness Ave, Van Park Pharmacy, Gardena, CA 90249-2944 | 2005-12-28 |
| 1932192283 | Thu Thi Dinh | Pharmacist | 15418 Crenshaw Blvd, Gardena, CA 90249-4524 | 2005-08-23 |
| Find all providers in GARDENA | ||||
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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.