DR. MICHAEL PHAM (NPI# 1205477551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205477551 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PHAM |
| Credential | PHARMD |
| Practice Address |
474 W Vermont Ave Ste 104 Escondido CA 92025-6584 |
| Mailing Address |
9550 Vervain St San Diego CA 92129-3524 |
| Practice Telephone | 7602709068 |
| Mailing Telephone | 4088345578 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 80285 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619154507 | Michael T Pham | Dentist | 5905 S Eastern Ave Ste 112, Las Vegas, NV 89119-3130 | 2008-01-23 |
| 1932297975 | Michael D. Pham | Nurse Practitioner | 1515 Holcombe Blvd Unit 423, Houston, TX 77030 | 2006-10-11 |
| 1821080474 | Michael Tuan Pham | Optometrist | 10904 Scarsdale Blvd, Ste 140, Houston, TX 77089-6034 | 2005-08-19 |
| 1871190595 | Michael Pham | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2020-10-06 |
| 1003458837 | Michael Pham | Physician Assistant | 620 W Lexington St, Baltimore, MD 21201-1508 | 2019-10-14 |
| 1780144709 | Michael Pham | Student in an Organized Health Care Education/Training Program | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2019-03-25 |
| 1215432653 | Michael Pham | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2018-03-28 |
| 1447770599 | Michael Pham | Counselor | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2017-06-20 |
| 1194258996 | Michael Pham | Student in an Organized Health Care Education/Training Program | 7101 S Padre Island Dr, Corpus Christi, TX 78412-4913 | 2017-04-07 |
| 1922462845 | Michael Dang Pham | Ophthalmology | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2016-04-06 |
| Street Address |
474 W VERMONT AVE STE 104 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-6584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194836429 | Jerry C Bobo | Psychiatry & Neurology | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2006-08-31 |
| 1356955256 | Michael Luis Hernandez Jr. | Student in an Organized Health Care Education/Training Program | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2020-09-08 |
| 1568096527 | Keri Reiko Fujiwara Robinson | Counselor | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2020-02-28 |
| 1548817364 | Melissa J Greenberg | Peer Specialist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2019-08-26 |
| 1316508849 | Vanessa Marie Sanchez | Counselor | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2019-06-25 |
| 1053881508 | Efrain Eliseo Quintero | Peer Specialist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-11-27 |
| 1235613787 | Giovanni Baez | Counselor | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-09-20 |
| 1689155921 | Tierra J Allen | Counselor | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-08-24 |
| 1588145262 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-08-22 |
| 1235632829 | Kiloren Lorraine Woolley | Peer Specialist | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2018-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284315 | Sally Berresse | Pharmacist | 21921 Long Trot Dr, Escondido, CA 92029-5936 | 2020-11-01 |
| 1568936961 | Angel Rose Ltc Pharmacy Inc | Pharmacist | 365 W 2nd Ave Ste 103, Escondido, CA 92025-4136 | 2019-01-18 |
| 1962938027 | Supraja Abbu | Pharmacist | 1665 E Valley Pkwy, Escondido, CA 92027-2408 | 2017-05-11 |
| 1912457771 | Neda-aileen Lin | Pharmacist | 1291 Dexter Pl, Escondido, CA 92029-5629 | 2016-10-05 |
| 1912353012 | Lauren Youngberg | Pharmacist | 200 W El Norte Pkwy, Suite #11, Escondido, CA 92026-2529 | 2016-05-06 |
| 1508223926 | Colleen Tholen | Pharmacist | 896 Corte Merano, Escondido, CA 92026-2260 | 2016-01-16 |
| 1720452949 | Vrajni Patel | Pharmacist | 2937 Burnet Dr, Escondido, CA 92027-5264 | 2015-11-26 |
| 1629441399 | Rana Dagher | Pharmacist | 3038 Wohlford Dr, Escondido, CA 92027-5273 | 2015-11-03 |
| 1396145728 | Jennifer Minh Trang Cao | Pharmacist | 757 Ball Ave, Escondido, CA 92026-3180 | 2014-09-04 |
| 1548685142 | Diana Mirzoian | Pharmacist | 1575 Tanglewood Ln Apt F221, Escondido, CA 92029-3220 | 2014-02-19 |
| Find all providers in ESCONDIDO | ||||
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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.