KRYSTAL H PHAM MD, LTD (NPI# 1831379650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831379650 |
| Entity Type | Organization |
| Organization Name | KRYSTAL H PHAM MD, LTD |
| Practice Address |
3040 W Charleston Blvd Las Vegas NV 89102-1944 |
| Practice Telephone | 7024770101 |
| Practice Fax Number | 7024770254 |
| Mailing Telephone | 7024770101 |
| Mailing Fax Number | 7024770254 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | KRYSTAL HANHTRAN PHAM (PRESIDENT) |
| Authorized Official Telephone | 7024770101 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
12284 | NV | Ambulatory Health Care Facilities |
| Street Address |
3040 W CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023051117 | Jeffrey Ta Liu | Obstetrics & Gynecology | 3040 W Charleston Blvd, Las Vegas, NV 89102-1944 | 2006-06-14 |
| 1184087611 | Jeffrey Ta Liu Md LLC | Obstetrics & Gynecology | 3040 W Charleston Blvd, Las Vegas, NV 89102-1944 | 2016-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854007 | Fortitude Sport & Spine | Clinic/Center | 878 Dancing Vines Ave, Las Vegas, NV 89183-6317 | 2020-09-01 |
| 1831724582 | Daniel Taheri Md PC | Clinic/Center | 5550 Painted Mirage Rd Ste 200, Las Vegas, NV 89149-4592 | 2020-03-03 |
| 1801228275 | Quan Haduong, Md Ltd | Clinic/Center | 2420 Professional Ct Ste 110, Las Vegas, NV 89128-0837 | 2013-08-07 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| 1861572802 | Stephen Lee Seldon | Clinic/Center | 4440 S Eastern Ave, Las Vegas, NV 89119-7825 | 2006-10-16 |
| 1184259830 | Daniel Taheri Md PC | Clinic/Center | 5731 S Fort Apache Rd Ste 130, Las Vegas, NV 89148-5666 | 2020-03-03 |
| 1275183766 | Not Applicable | Clinic/Center | 2008 Hamilton Ln, Las Vegas, NV 89106-4033 | 2019-09-17 |
| 1669038790 | Hemostasis & Thrombosis Center of Nv Pharmacy | Clinic/Center | 8352 W Warm Springs Rd Ste 200, Las Vegas, NV 89113-3629 | 2019-05-14 |
| 1184195430 | Multicultural Counseling Collaborative, Inc. | Clinic/Center | 2920 S Jones Blvd Ste 225, Las Vegas, NV 89146-5622 | 2018-12-16 |
| 1083109219 | Docmac Comfort Care LLC | Clinic/Center | 2301 Collins Dr, Las Vegas, NM 87701-4826 | 2018-06-29 |
| Find all providers in LAS VEGAS | ||||
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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.