LONG PHAM (NPI# 1962986042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962986042 |
| Entity Type | Individual |
| Full Name | LONG PHAM |
| Practice Address |
7175 Enclave Dr Eastvale CA 92880-3828 |
| Practice Telephone | 3187919853 |
| Mailing Telephone | 3187919853 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 29433 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245681345 | Long Pham | Pharmacist | 11246 Trask Ave, Garden Grove, CA 92843-2632 | 2016-06-29 |
| 1215317821 | Long Ngoc Pham | Internal Medicine | 250 N Robertson Blvd Ste 603, Beverly Hills, CA 90211-1793 | 2015-06-09 |
| 1710223979 | Long Thien Pham | Pharmacist | Hwy 191 Hospital Turnoff, Chinle, AZ 86503 | 2012-12-17 |
| 1497178461 | Long Pham | Pharmacist | 2171 Oneal Ln, Baton Rouge, LA 70816-3206 | 2014-01-28 |
| 1063712479 | Long Dzu Pham | Pharmacist | 12200 E Mississippi Ave, Aurora, CO 80012-3454 | 2010-11-01 |
| 1083840441 | Long P Pham | Dentist | 1300 W 2nd St, Rock Falls, IL 61071-1005 | 2009-05-29 |
| 1851551592 | Long Dang Pham | Dentist | 6400 Seven Corners Pl, Ste K, Falls Church, VA 22044-2032 | 2008-06-16 |
| Street Address |
7175 ENCLAVE DR |
| City | EASTVALE |
| State | CA |
| Zip Code | 92880-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1184274029 | Rocquel Mack | Licensed Vocational Nurse | 2131 Shelley Circle, Corona, CA 92880 | 2019-09-12 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
| Find all providers in zip 92880 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733233 | Kevin Mccann | Recreation Therapist | 201 9th St # 11-k, Marina, CA 93933-6039 | 2020-06-03 |
| 1962024950 | Jacqueline K Volz | Recreation Therapist | 21732 S Vermont Ave, Torrance, CA 90502-2179 | 2020-05-12 |
| 1578190104 | Carolyn Neufeld | Recreation Therapist | 2915 Buthmann Ave, Tracy, CA 95376-1806 | 2020-03-24 |
| 1922634625 | Deborah Paulus | Recreation Therapist | 4777 Grouse Run Dr Apt 218, Stockton, CA 95207-5384 | 2020-03-14 |
| 1518433259 | Jenality Thurman | Recreation Therapist | 1766 Kenneth St, Seaside, CA 93955-3842 | 2018-10-20 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1669995742 | Christina Randle | Recreation Therapist | 2221 Lily Ave, Upland, CA 91784-7997 | 2017-07-20 |
| 1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
| 1265955504 | Julie Helgren | Recreation Therapist | 7601 E. Imperial Highway, Jpi Building Rm 1124, Downey, CA 90242 | 2017-07-19 |
| Find all providers with the same taxonomy | ||||
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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.