MR. TAI D PHAM (NPI# 1356321749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356321749 |
| Entity Type | Individual |
| Full Name | MR. TAI D PHAM |
| Credential | PA C |
| Practice Address |
2800 E Desert Inn Rd Ste 100 Las Vegas NV 89121-3609 |
| Practice Telephone | 7027311616 |
| Practice Fax Number | 7027344900 |
| Mailing Telephone | 7027311616 |
| Mailing Fax Number | 7027344900 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2018-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA 689 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA0325 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | BC | Q40842 | 01 |
| NV | 100506022 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8205 W Warm Springs Rd Ste 250, Las Vegas, NV 891133646 | 7022272152 | 7022520369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225568645 | Tai Minh Pham | Pediatrics | 1531 Esplanade # Ca95926, Chico, CA 95926-3310 | 2017-06-18 |
| 1447649769 | Tai Pham | Internal Medicine | 4610 X St, Sacramento, CA 95817-2200 | 2015-01-12 |
| Street Address |
2800 E DESERT INN RD STE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306845649 | Russell T. Nevins | Orthopaedic Surgery | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2005-07-19 |
| 1548871551 | Riley Madison Brashear | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2020-08-13 |
| 1841838570 | Jordan Christensen | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2019-12-12 |
| 1881232635 | Christopher Cummings | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2019-12-11 |
| 1508331083 | Abby Sue Fink | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-10-10 |
| 1942788575 | Briannon Marie Yadrick | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-08-06 |
| 1326532037 | Janika Sullivan | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2018-06-16 |
| 1427564806 | Elizabeth Ashley Hanks | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-12-20 |
| 1629592811 | Alysse A Thummel | Physician Assistant | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-07-28 |
| 1558809079 | Candice D Cliatt | Registered Nurse | 2800 E Desert Inn Rd Ste 100, Las Vegas, NV 89121-3609 | 2017-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554106 | Amy Hamilton | Physician Assistant | 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 | 2019-02-12 |
| 1386145159 | Kevin Refahiyat | Physician Assistant | 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 | 2018-02-26 |
| 1316487325 | Nadiya-larissa Bateman | Physician Assistant | 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 | 2017-02-24 |
| 1760840797 | Ying Quan | Physician Assistant | 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 | 2016-02-04 |
| 1396121646 | Lucas Michal Anderson | Physician Assistant | 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 | 2015-08-09 |
| 1851631378 | Matthew Sanders | Physician Assistant | 6870 S. Rainbow Blvd, Suite 106, Las Vegas, NV 89118 | 2013-02-20 |
| 1285973289 | Jesus Angel Corn Sotelo | Physician Assistant | 4225 S Eastern Ave Ste 8, Las Vegas, NV 89119-5485 | 2013-02-11 |
| 1952675993 | Donald Patrick Mcgrorey Md Pllc | Physician Assistant | 6440 N Durango Dr Bldg A, Las Vegas, NV 89149-8513 | 2012-03-07 |
| 1508136375 | Leigh Richards Boeckle | Physician Assistant | 9033 W Sahara Ave, Las Vegas, NV 89117 | 2012-01-10 |
| 1225315229 | Samantha J Van Ginneken | Physician Assistant | 8020 S Rainbow Blvd Ste 100, Box #536, Las Vegas, NV 89139-6494 | 2011-11-04 |
| Find all providers in LAS VEGAS | ||||
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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.