ELIZABETH W PHAM (NPI# 1669568606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669568606 |
| Entity Type | Individual |
| Full Name | ELIZABETH W PHAM |
| Credential | MD |
| Practice Address |
635 Anderson Road #10 Davis CA 95616 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 5307581122 |
| Practice Fax Number | 5307581646 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A88287 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A882870 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912576 | Elizabeth Ngoc Pham | Nurse Practitioner | 1502 Grey Willow Ln, Arlington, TX 76002-4631 | 2020-11-02 |
| 1205135522 | Elizabeth Pham | Student in an Organized Health Care Education/Training Program | 4502 Maccorkle Ave Se Ste C, Charleston, WV 25304-1835 | 2011-03-25 |
| 1316546062 | Elizabeth Pham | Behavior Technician | 9355 E Stockton Blvd, Elk Grove, CA 95624-9476 | 2020-10-23 |
| 1922610013 | Elizabeth Thuong Pham | Pharmacist | 9000 N Greenwood Ave, Niles, IL 60714-1408 | 2020-08-19 |
| 1295388817 | Elizabeth Pham | Pharmacist | 2650 W Kearney St Ste 116, Springfield, MO 65803-2055 | 2019-07-23 |
| 1255733580 | Elizabeth Pham | Optometrist | 1506 E Griffin Pkwy, Mission, TX 78572-2425 | 2014-09-18 |
| 1578984738 | Elizabeth Pham | Registered Nurse | 1908 Business Center Dr, Suite 220, San Bernardino, CA 92408-3436 | 2013-12-13 |
| 1740413681 | Elizabeth Thu Pham | Internal Medicine | 1665 Scenic Ave, Costa Mesa, CA 92626-1445 | 2009-08-26 |
| Street Address |
635 ANDERSON ROAD #10 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710086111 | Richard Zabala Naval | Chiropractor | 635 Anderson Road, Suite 5, Davis, CA 95616-3505 | 2006-09-22 |
| 1699906727 | Liya Manukyan Stephanian | Physician Assistant | 635 Anderson Road, Suite 10, Davis, CA 95616-3505 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871029611 | Ana Lopez-vera | Family Medicine | 1112 Eagle Pl, Davis, CA 95616-5700 | 2017-05-11 |
| 1609285584 | Sharon Amon | Family Medicine | 2408 Elendil Ln, Davis, CA 95616-3044 | 2014-08-05 |
| 1558646513 | Pin-chieh Chiang | Family Medicine | 216 F Street, Ste141, Davis, CA 95616 | 2011-10-20 |
| 1265734925 | David K Leung | Family Medicine | 638 Coolidge St, Davis, CA 95616-3064 | 2010-11-30 |
| 1477648921 | Jeffrey Kraig Katzenmeyer | Family Medicine | 2020 Sutter Place, #101, Davis, CA 95616 | 2006-10-03 |
| 1710094529 | Rupert J.o. Visaya | Family Medicine | 3435 Verona Ter, Davis, CA 95618-6724 | 2006-08-25 |
| 1730294448 | Kenneth C Clay | Family Medicine | 2660 W Covell Blvd Ste C, Davis, CA 95616-5645 | 2006-08-20 |
| 1689602773 | Mark P Ewens | Family Medicine | 2330 W. Covell Blvd, Davis, CA 95616-5058 | 2006-06-29 |
| 1568498319 | Thomas W Ormiston | Family Medicine | 2330 W Covell Blvd, Davis, CA 95616-5658 | 2006-06-23 |
| 1306882030 | Sarah Sallee Jones | Family Medicine | 2030 Sutter Place, #2000, Davis, CA 95616 | 2006-06-21 |
| Find all providers in DAVIS | ||||
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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.