JENNIFER PHAM (NPI# 1104369123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104369123 |
| Entity Type | Individual |
| Full Name | JENNIFER PHAM |
| Credential | O.D. |
| Practice Address |
1899 W March Ln Stockton CA 95207-6402 |
| Mailing Address |
8621 Mirandela Way Elk Grove CA 95757-6339 |
| Practice Telephone | 2096234700 |
| Mailing Telephone | 4083347743 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 33614 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809787 | Jennifer Pham | Optometrist | 10013 Almeda Genoa Rd Ste G, Houston, TX 77075-2445 | 2020-07-27 |
| 1326412537 | Jennifer Pham | Specialist/Technologist | 8381 Conner Cir, Westminster, CA 92683-3318 | 2015-11-25 |
| 1801193982 | Jennifer Pham | Dentist | 42550 Stires Dr, Chantilly, VA 20152-6655 | 2011-02-25 |
| 1023142007 | Jennifer Phi Anh Pham | Dentist | 6369 Westheimer Rd, Houston, TX 77057-5103 | 2007-03-14 |
| 1972101186 | Jennifer Pham | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-12 |
| 1871110205 | Jennifer Pham | Behavior Technician | 1401 E 7th St, Charlotte, NC 28204-6300 | 2020-07-01 |
| 1437784717 | Jennifer Pham | Optometrist | 8520 N Beach St, Fort Worth, TX 76244-4918 | 2020-03-07 |
| 1235629932 | Jennifer Pham | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2018-05-17 |
| 1720505498 | Jennifer Pham | Pharmacist | 565 W 235th St, Bronx, NY 10463-1650 | 2017-08-24 |
| 1457880569 | Jennifer Pham | Dentist | 1300 N Ventura Rd Ste 2, Oxnard, CA 93030 | 2017-06-12 |
| Street Address |
1899 W MARCH LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508837279 | Philip A Edington | Specialist | 1899 W March Ln, Stockton, CA 95207-6402 | 2006-01-30 |
| 1639550130 | Majid Roubach | Ophthalmology | 1899 W March Ln, Stockton, CA 95207 | 2015-06-11 |
| 1780099903 | Angela Poja Maharaj | Optometrist | 1899 W March Ln, Stockton, CA 95207-6402 | 2014-06-26 |
| 1104242924 | Charles Kim | Ophthalmology | 1899 W March Ln, Stockton, CA 95207-6402 | 2014-03-18 |
| 1821331034 | Sarah Lauren Dehaybi | Ophthalmology | 1899 W March Ln, Stockton, CA 95207-6402 | 2013-04-05 |
| 1902125537 | Nina Nguyen Nordgren | Ophthalmology | 1899 W March Ln, Stockton, CA 95207 | 2010-05-21 |
| 1114176674 | Daniel Edward Levinsohn | Ophthalmology | 1899 W March Ln, Stockton, CA 95207-6402 | 2008-09-09 |
| 1740480441 | Daniel Wee | Ophthalmology | 1899 W March Ln, Stockton, CA 95207-6402 | 2007-07-20 |
| 1326062084 | Center for Sight of Stockton A Medical Corporation | Specialist | 1899 W March Ln, Stockton, CA 95207-6402 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| 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 |
|---|---|---|---|---|
| 1316577562 | Valley Optometry PC | Optometrist | 87 W March Ln Ste 2, Stockton, CA 95207-5731 | 2020-01-16 |
| 1871045955 | Brandon Wong | Optometrist | 3566 Bluelake Cir, Stockton, CA 95219-1747 | 2016-10-25 |
| 1891171062 | Stephen Atallah | Optometrist | 2575 Grand Canal Blvd, Stockton, CA 95207-8260 | 2015-08-10 |
| 1083021752 | Vikram Girn | Optometrist | 2571 Blossom Cir, Stockton, CA 95212-3010 | 2014-07-15 |
| 1063825156 | Timothy Ng | Optometrist | 1101 E March Ln # 0, Stockton, CA 95210-4500 | 2014-06-05 |
| 1144661497 | Cheryl Inong De La Torre | Optometrist | 136 W Fulton St, Stockton, CA 95204-3110 | 2013-07-16 |
| 1568808905 | Daniel & Max, LLC | Optometrist | 6539 Pacific Ave, Stockton, CA 95207-3717 | 2013-05-13 |
| 1497901284 | Jenee S Lee Od Inc | Optometrist | 4637 Pine Valley Cir, Stockton, CA 95219-1876 | 2008-08-12 |
| 1588841365 | Crystal I Chen | Optometrist | 36 W Yokuts Ave Ste 1, Stockton, CA 95207-5713 | 2008-01-24 |
| 1659553709 | Chukweumeka Chikwendu | Optometrist | 7743 West Ln, Suite A2, Stockton, CA 95210-3348 | 2007-11-30 |
| Find all providers in STOCKTON | ||||
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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.