MS. LISA KIM PHAM (NPI# 1568018786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568018786 |
| Entity Type | Individual |
| Full Name | MS. LISA KIM PHAM |
| Credential | MSW |
| Practice Address |
801 E Chapman Ave Ste 203 Fullerton CA 92831 |
| Mailing Address |
801 E Chapman Ave Ste 203 Fullerton CA 92831-3846 |
| Practice Telephone | 7146809000 |
| Mailing Telephone | 7146809000 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2020-07-07 |
| NPI Deactivation Date | 06/04/2020 |
| NPI Reactivation Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
95354 | CA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 390200000X | CA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144881491 | Lisa Pham | Optometrist | 3555 N York St, Denver, CO 80205-4158 | 2019-06-27 |
| 1770952418 | Lisa Tran Hoang My Pham | Pharmacist | 11234 Anderson St Lbby Level, Loma Linda, CA 92354-2804 | 2015-09-23 |
| 1952603706 | Lisa Ly Pham | Social Worker | 5945 Camellia Ave, Temple City, CA 91780 | 2010-11-30 |
| 1275502379 | Lisa Pham | Internal Medicine | 3231 S National Ave Ste 300, Springfield, MO 65807-7304 | 2006-03-14 |
| 1548770738 | Lisa Pham | Pharmacist | 535 Robinson Ave, San Diego, CA 92103-4209 | 2017-10-03 |
| 1285076570 | Lisa Pham | Pharmacist | 800 Commons Pl, Manhattan, KS 66503-3001 | 2013-07-27 |
| 1982961819 | Lisa Pham | Pediatrics | 8080 N Stadium Dr, Houston, TX 77054-1829 | 2012-04-17 |
| Street Address |
801 E CHAPMAN AVE STE 203 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376630665 | Jesus Sanchez Ocana | Counselor | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2006-10-06 |
| 1366058489 | Juan Islas | Rehabilitation Practitioner | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-09-23 |
| 1285247965 | Jennifer Solorzano | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-24 |
| 1427660646 | Jennifer Soto | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-19 |
| 1982216289 | Michelle Garcia | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-18 |
| 1013528736 | Rafaela Vargas | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-14 |
| 1841801057 | Coral Bedolla | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-11 |
| 1902417330 | Yessenia Gonzalez | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-10 |
| 1750991816 | Yvette Bautista Suarez | Rehabilitation Practitioner | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-04 |
| 1396354783 | Christopher Fry | Community Health Worker | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441880 | James R Ruby | Counselor | 819 W Fern Dr, Fullerton, CA 92832-1014 | 2020-06-09 |
| 1891315313 | Michelle Y Kim | Counselor | 2501 E Chapman Ave Ste 106, Fullerton, CA 92831-3135 | 2020-04-24 |
| 1194364968 | Antonio Simental | Counselor | 4014 W Valencia Dr, Fullerton, CA 92833-2881 | 2019-12-27 |
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1073009478 | Melissa Renae Ruvalcaba | Counselor | 801 E. Champman Ave, # 203, Fullerton, CA 92831-3839 | 2018-07-09 |
| 1407370547 | Ashleigh Marie Sorenson | Counselor | 1235 N Harbor Blvd Ste 290, Fullerton, CA 92832-1353 | 2017-07-31 |
| 1922531805 | Insia Hirawala | Counselor | 2913 Barrington Ct, Fullerton, CA 92831-2208 | 2017-04-06 |
| 1588061345 | Atlas Psychological Family Counseling & Wellness Services, Inc. | Counselor | 1513 E Chapman Ave, Fullerton, CA 92831-4013 | 2014-11-21 |
| 1477804227 | Amanda Lee Carrillo | Counselor | 3621 W Ash Ave, Fullerton, CA 92833-3107 | 2012-09-19 |
| 1023366424 | Grace Jeanee Chang | Counselor | 2270 Pickwick Pl, Fullerton, CA 92833-4804 | 2012-08-16 |
| Find all providers in FULLERTON | ||||
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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.