BENJAMIN VAN PHAM (NPI# 1215393715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215393715 |
| Entity Type | Organization |
| Organization Name | BENJAMIN VAN PHAM |
| Practice Address |
1650 Lead Hill Blvd Ste 100 Roseville CA 95661-3072 |
| Mailing Address |
685 Twelve Bridges Dr Ste F Lincoln CA 95648-8689 |
| Practice Telephone | 9167863434 |
| Mailing Telephone | 9164085580 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |
| Authorized Official Name | DAYNA LE (OFFICE MANAGER) |
| Authorized Official Telephone | 9163339557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4060 | CA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477910818 | Benjamin Van Pham | Podiatrist | 414 G St Ste 240, Marysville, CA 95901-5670 | 2016-01-15 |
| 1568829901 | Benjamin Van Pham | Podiatrist | 5025 J St Ste 316, Sacramento, CA 95819-3839 | 2016-01-15 |
| 1154786598 | Benjamin Van Pham | Podiatrist | 685 Twelve Bridges Dr Ste F, Lincoln, CA 95648-8689 | 2015-12-30 |
| Street Address |
1650 LEAD HILL BLVD STE 100 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558432062 | Sergey A. Nemolyaev | Physician Assistant | 1650 Lead Hill Blvd Ste 100, Roseville, CA 95661-3072 | 2006-11-13 |
| 1851432942 | Spine Surgery Associates | Specialist | 1650 Lead Hill Blvd Ste 100, Roseville, CA 95661-3072 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093120297 | Andrew Richard Mastay | Podiatrist | 20905 E 12 Mile Rd Ste 100, Roseville, MI 48066-6501 | 2014-06-25 |
| 1194854737 | Steven K. Shoemaker, Dpm and Associates, Inc. | Podiatrist | 1421 Secret Ravine Pkwy Ste 111, Roseville, CA 95661-6045 | 2007-03-02 |
| 1194890954 | Michael Joyce | Podiatrist | 2680 Snelling Ave No, Suite 260, Roseville, MN 55113-1821 | 2006-11-21 |
| 1477633899 | Advanced Foot & Ankle Center PC | Podiatrist | 25990 Kelly, Suite 4, Roseville, MI 48066 | 2006-10-17 |
| 1962459545 | Edward Law | Podiatrist | 151 N Sunrise Ave Ste 1409, Roseville, CA 95661-2934 | 2006-05-28 |
| 1669454013 | Michelle M Deyoung | Podiatrist | 20905 E 12 Mile Rd, Ste 100, Roseville, MI 48066-6501 | 2005-11-18 |
| 1184965725 | Mark Drake | Podiatrist | 5 Medical Plaza Dr, 110, Roseville, CA 95661-2865 | 2013-03-06 |
| 1356509590 | Michael Joyce Dpm Pa | Podiatrist | 2680 Snelling Ave No, Suite 260, Roseville, MN 55113-1821 | 2008-05-23 |
| 1730350901 | Victor R Suckesi Dpm | Podiatrist | 729 Sunrise Ave, Suite 607, Roseville, CA 95661 | 2008-03-17 |
| 1841476397 | Steven K Shoemaker | Podiatrist | 1421 Secret Ravine Pkwy, Suite 111, Roseville, CA 95661-6045 | 2008-01-15 |
| Find all providers in ROSEVILLE | ||||
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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.