VAN PHAM (NPI# 1598322125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598322125 |
| Entity Type | Individual |
| Full Name | VAN PHAM |
| Practice Address |
11201 Benton St Loma Linda CA 92357-1000 |
| Mailing Address |
7281 Judson Ave Westminster CA 92683-6163 |
| Practice Telephone | 9098257084 |
| Mailing Telephone | 9493022460 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 78949 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467889923 | Van Thi Kim Pham | Nurse Practitioner | 3082 E Bayard Street Ext, Seneca Falls, NY 13148-9701 | 2013-09-30 |
| 1801136171 | Van Hong Pham | Pharmacist | 17142 Brooklyn Ave, Yorba Linda, CA 92886-1717 | 2013-02-25 |
| 1528197142 | Van B Pham | Dentist | 7210 Camino Arroyo, Suite 106, Gilroy, CA 95020-7311 | 2007-03-02 |
| 1275570913 | Van D Pham | Optometrist | 525 Howard St, Fl 1, Evanston, IL 60202-4005 | 2006-06-01 |
| 1265041594 | Van Pham | Nurse Practitioner | 4140 County Road 101 N, Plymouth, MN 55446-2308 | 2020-07-22 |
| 1255960720 | Van K Pham | Pharmacist | 4700 W Ann Rd, N Las Vegas, NV 89031-3463 | 2020-04-06 |
| 1700349289 | Van N Pham | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2019-04-10 |
| 1770085128 | Van Pham | Behavior Technician | 3160 Crow Canyon Pl Ste 205, San Ramon, CA 94583-1338 | 2018-03-01 |
| 1831629559 | Van Pham | Pharmacist | 4538 Us Highway 231, Wetumpka, AL 36092-3333 | 2017-06-14 |
| 1720538515 | Van Pham | Pharmacist | 333 9th St, Oakland, CA 94607-4211 | 2016-10-05 |
| Street Address |
11201 BENTON ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92357-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290558 | Russell Evan Hoxie Jr. | Internal Medicine | 11201 Benton St, Loma Linda, CA 92357-1000 | 2005-07-22 |
| 1104435643 | Megan Satre | Audiologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-07-30 |
| 1972111862 | Aileen Nati Ludesirishoti | Pharmacist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-07-17 |
| 1649894551 | Bryan Lamont Brewer | Social Worker | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-06-05 |
| 1518580497 | Nicole Kaye Whittle | Audiologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-26 |
| 1629690375 | Kevin Alan Cox | Student in an Organized Health Care Education/Training Program | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-15 |
| 1033731443 | Joni Lynn Stanton | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-08 |
| 1134748536 | Abednego Tamba | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-04-15 |
| 1447885884 | Zachary Michael Cruz | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-03-05 |
| 1972141695 | Tanya Lengvilas | Pharmacist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679916027 | Nicole Kristine Shah-ghassemzadeh | Internal Medicine | Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 | 2013-04-16 |
| 1760628598 | Taranjit Natt | Internal Medicine | 11201 Benton St # 111-om, Loma Linda, CA 92357 | 2008-12-29 |
| 1548355076 | Annette A Boyd -hampton | Nurse Practitioner | 11201 Benton St. -111g, Loma Linda, CA 92357 | 2006-10-03 |
| 1396830766 | Maudie Cantrell Foy | Nurse Practitioner | 11201 Benton St. (11cp), Loma Linda, CA 92357 | 2006-10-03 |
| 1427154715 | Kenneth Wong | Pharmacist | 11201 Benton St. (119), Loma Linda, CA 92357 | 2006-09-15 |
| 1801909577 | Paul Lindberg | Orthotist | 11201 Benton St./121, Loma Linda, CA 92357 | 2006-08-16 |
| 1992728703 | Harry Chen | Pharmacist | 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 | 2006-07-25 |
| 1699222661 | Nathanial Benjaman Hawkins | Psychologist | 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 | 2016-09-07 |
| 1063877959 | Irene Thung | Pathology | 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 | 2015-12-21 |
| 1033553375 | Brian Chau | Physical Medicine & Rehabilitation | 11201 Benton Street, Department of Pm&r (mail Code 117), Loma Linda, CA 92357 | 2013-04-17 |
| Find all providers in zip 92357 | ||||
| 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 |
|---|---|---|---|---|
| 1477179885 | Gerald Rai Jr. | Pharmacist | 26140 Windsor Dr, Loma Linda, CA 92354-4100 | 2020-06-22 |
| 1982228029 | Jennifer Vu | Pharmacist | 25455 Barton Rd Ste 111a, Loma Linda, CA 92354-3129 | 2020-06-04 |
| 1578186623 | Ruth Melany Perez Martinez | Pharmacist | 11588 Lawton Ct, Loma Linda, CA 92354-3326 | 2020-05-24 |
| 1285298745 | Ga Ae Hong Kim | Pharmacist | 11467 Via Capri, Loma Linda, CA 92354-3853 | 2019-04-30 |
| 1265937494 | Lee Huu Nguyen | Pharmacist | 24754 Steward Street Shryock Hall School of Pharmacy, Loma Linda, CA 92350-0001 | 2018-03-28 |
| 1619323540 | Yi Tung | Pharmacist | 26078 Via Oro, Loma Linda, CA 92354-3837 | 2016-05-10 |
| 1437522695 | Candice P E Chiaramonte | Pharmacist | 24745 Stewart Street Shryock Hl Rm 234, Loma Linda, CA 92350-0001 | 2015-11-09 |
| 1770952418 | Lisa Tran Hoang My Pham | Pharmacist | 11234 Anderson St Lbby Level, Loma Linda, CA 92354-2804 | 2015-09-23 |
| 1215321070 | Kyung Hyun Park | Pharmacist | Loma Linda University School of Pharmacy, Shryock Hall, Loma Linda, CA 92350-0001 | 2015-03-19 |
| 1932502655 | Jennifer Pak | Pharmacist | 25587 Prospect Ave, Loma Linda, CA 92354-3167 | 2014-10-08 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92357 |
Please comment or provide details below to improve the information on VAN 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.