MRS. ALICE THIPPHAVONG (NPI# 1275982837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275982837 |
| Entity Type | Individual |
| Full Name | MRS. ALICE THIPPHAVONG |
| Credential | MS, RD |
| Practice Address |
1290 Tully Rd Ste 60 San Jose CA 95122-3069 |
| Mailing Address |
1131 Sabal Ct San Jose CA 95132-2866 |
| Practice Telephone | 4082750105 |
| Practice Fax Number | 4082750115 |
| Mailing Telephone | 4087291247 |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2016-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
R519736 | IL | Dietary & Nutritional Service Providers |
| Street Address |
1290 TULLY RD STE 60 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95122-3069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1346894524 | Amy Le Tran | Counselor | Mekong Community Center, 2203 Tully Road, San Jose, CA 95122 | 2019-07-26 |
| 1164980439 | Tri Starr Home Care, LLC | PACE Provider Organization | 1609 Flanigan Dr., Unit H, Unit H, San Jose, CA 95122 | 2019-03-06 |
| 1740761196 | Aileen Phu | Acupuncturist | 1271 Story Rd Ste 50, San Jose, CA 95122 | 2018-08-23 |
| 1740775816 | Urgent Care Clinic of Northern Ca Inc | Clinic/Center | 999 Story Road, Suite 9021, San Jose, CA 95122 | 2018-06-29 |
| 1952825911 | Robert Martin Thomas | Counselor | 950 Julian St, San Jose, CA 95122 | 2017-08-01 |
| 1497113153 | Jamealle Spain | Case Manager/Care Coordinator | 2070 Lucretia Ave #310, San Jose, CA 95122 | 2016-02-09 |
| 1770915035 | Thinh Tran | Dentist | 919 Story Rd Unit 1128, San Jose, CA 95122 | 2013-08-08 |
| 1356591333 | Asian American Recovery Services | Counselor | 1340 Tully Rd., San Jose, CA 95122 | 2008-09-25 |
| 1821246505 | Samara Rachel Stone | Marriage & Family Therapist | 1340 Tully Road, Suite 304, San Jose, CA 95122 | 2008-09-05 |
| Find all providers in zip 95122 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194260695 | Rory Pace | Dietitian, Registered | 300 Santana Row, Suite 300, San Jose, CA 95128-2423 | 2016-12-20 |
| 1033442124 | Chih-chii Amy Shiau | Dietitian, Registered | 4563 Borina Dr, San Jose, CA 95129-2225 | 2009-09-08 |
| 1578990172 | Linda C Huie | Dietitian, Registered | 2211 Moorpark Ave Ste 218, San Jose, CA 95128-2629 | 2013-09-27 |
| 1104262849 | Carol W Wolf | Dietitian, Registered | 751 S. Bascom Ave, San Jose, CA 95128-2699 | 2013-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386279792 | Healthy Mission Dietitian, Inc. | Dietitian, Registered | 225 S Ivy Ave # 266, Monrovia, CA 91016-2835 | 2020-03-05 |
| 1861048456 | Kimberly Reiko Miyamoto | Dietitian, Registered | 24533 Cadiz Dr, Lomita, CA 90717-1156 | 2019-08-10 |
| 1114490497 | Maria Tointon | Dietitian, Registered | 236 6th Ave # A, Santa Cruz, CA 95062-4604 | 2019-01-09 |
| 1689122533 | Shirlee Rosen | Dietitian, Registered | 4521 Sherman Oaks Ave Ste 201, Sherman Oaks, CA 91403-3807 | 2016-09-20 |
| 1336599836 | Shu-hui Dai | Dietitian, Registered | 20718 Golden Rain Rd, Riverside, CA 92508-3161 | 2016-06-15 |
| 1679922561 | Monica Wong | Dietitian, Registered | 2201 Junipero Serra Blvd, Daly City, CA 94014-1908 | 2016-06-10 |
| 1417328121 | Vanessa Joana Rojas-bautista | Dietitian, Registered | 101 City Drive, Bldg. 51, Orange, CA 92868-3217 | 2015-10-08 |
| 1396131009 | Susan Lynn Mills | Dietitian, Registered | 5718 Ravenspur Dr Unit 106, Rancho Palos Verdes, CA 90275-3536 | 2015-04-09 |
| 1104163880 | Iryanthi Kurniadi | Dietitian, Registered | 18324 Jeffrey Ave, Cerritos, CA 90703-6149 | 2013-01-15 |
| 1609164508 | Donna Lynn Morton De Souza | Dietitian, Registered | 20 Cafaro Cir, Sacramento, CA 95834-1036 | 2011-07-13 |
| 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.