DR. BRIAN PHAM (NPI# 1881665743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881665743 |
| Entity Type | Individual |
| Full Name | DR. BRIAN PHAM |
| Credential | O.D. |
| Practice Address |
619 Pine Ave Long Beach CA 90802-1331 |
| Practice Telephone | 5623660777 |
| Practice Fax Number | 5623668877 |
| Mailing Telephone | 5623660777 |
| Mailing Fax Number | 5623668877 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2008-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12346T | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417580515 | Brian Pham | Technician, Other | 2400 E Katella Ave Ste 800, Anaheim, CA 92806-5955 | 2020-02-17 |
| 1669035374 | Brian Pham | Occupational Therapist | 14966 Terreno De Flores Ln, Los Gatos, CA 95032-2023 | 2019-04-18 |
| 1225533185 | Brian Pham | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-03-23 |
| 1811377963 | Brian Pham | Internal Medicine | 4501 X St, Sacramento, CA 95817-2229 | 2015-06-04 |
| 1487051801 | Brian Pham | Pharmacist | 6285 Commerce Blvd, Rohnert Park, CA 94928-6301 | 2014-12-01 |
| 1003190976 | Brian Dinh Pham | Pharmacist | 5296 Jimmy Carter Blvd, Norcross, GA 30093-1603 | 2011-10-10 |
| 1386871051 | Brian Pham | Psychiatry & Neurology | 325 W Gowe St, Kent, WA 98032-5892 | 2009-06-19 |
| Street Address |
619 PINE AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1922524925 | Esther Sophia Yang | Optometrist | 4001 N Lakewood Blvd Ste 110, Long Beach, CA 90808-1887 | 2017-08-21 |
| 1285023135 | Ngoc H. Tran, Optometrist, A Professional Corporation | Optometrist | 4130 N Viking Way, Long Beach, CA 90808-1402 | 2015-01-15 |
| 1386807964 | Leangsok Tea | Optometrist | 3637 Locust Ave, Long Beach, CA 90807-3846 | 2008-07-03 |
| 1760665202 | Uc2020 Optometry | Optometrist | 2958 E Anaheim St, Long Beach, CA 90804-3726 | 2007-12-06 |
| 1780890749 | Juliane Lee | Optometrist | 2572 Atlantic Ave, Long Beach, CA 90806 | 2007-05-15 |
| 1578782017 | Dana M Gabbay | Optometrist | 240 W Beech St, Long Beach, NY 11561-3202 | 2007-04-24 |
| 1720204779 | Darren L Thorsen, Od | Optometrist | 1703 South Pacific Ave, Long Beach, WA 98631 | 2007-04-18 |
| 1518081447 | Elaina I-ling Chiao | Optometrist | 5219 E 2nd St, Long Beach, CA 90803-5316 | 2007-03-17 |
| 1023159100 | Frederick Alexei Huizar | Optometrist | 1412 E Wardlow Rd, Long Beach, CA 90807-4836 | 2007-02-09 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
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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.