JENNIFER PHAM (NPI# 1396993713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396993713 |
| Entity Type | Individual |
| Full Name | JENNIFER PHAM |
| Credential | P.A |
| Practice Address |
2250 S Main St Ste. 104 Corona CA 92882-2534 |
| Mailing Address |
1901 Town and Country Dr Ste 104 Norco CA 92860-3611 |
| Practice Telephone | 9517371454 |
| Mailing Telephone | 9518086240 |
| Mailing Fax Number | 9517389954 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing 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 |
2250 S MAIN ST STE. 104 |
| City | CORONA |
| State | CA |
| Zip Code | 92882-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343022 | Anthony John Pirritano | Chiropractor | 2250 S Main St, Ste 203, Corona, CA 92882-2534 | 2005-08-18 |
| 1518414515 | Sarah Nelson | Nurse Practitioner | 2250 S Main St, Ste. 106, Corona, CA 92882-2534 | 2016-09-07 |
| 1205289956 | Mission Surgical Group | Clinic/Center | 2250 S Main St, Suite 206, Corona, CA 92882-2534 | 2016-07-18 |
| 1477923845 | Bluechip Infusion Services | Home Infusion | 2250 S Main St, Suite 106, Corona, CA 92882-2534 | 2015-09-29 |
| 1023400322 | Integrated Medical Center of Corona Inc. | Clinic/Center | 2250 S Main St, Suite 203, Corona, CA 92882-2534 | 2015-02-23 |
| 1235362203 | Sarah Santos | Chiropractor | 2250 S Main St, #203, Corona, CA 92882-2534 | 2009-08-25 |
| 1891938155 | Circle City Ekg Reading Panel,inc | Specialist | 2250 S Main St, Ste 201, Corona, CA 92882-2536 | 2009-04-15 |
| 1316108491 | Srinidhi Ekkati | Physician Assistant | 2250 S Main St, Suite 201, Corona, CA 92882-2534 | 2008-06-20 |
| 1194903344 | Tracey Doxzon | Physician Assistant | 2250 S Main St, Ste 106, Corona, CA 92882-2534 | 2008-02-08 |
| 1184802332 | Nicole Rae Newman | Physician Assistant | 2250 S Main St, Ste. 106, Corona, CA 92882-2534 | 2008-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043677859 | Erika Crystal Reyes | Physician Assistant | 127 N Mckinley St Ste 101, Corona, CA 92879-6563 | 2016-01-25 |
| 1255710240 | Griselle Villar Ledesma | Physician Assistant | 10427 Corona Ave, Corona, NY 11368-2979 | 2015-05-22 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| 1457660359 | Rudy Manuel Ramirez | Physician Assistant | 13355 Green Mountain Dr, Corona, CA 92883-6229 | 2010-09-27 |
| 1720311012 | Hugh Kling Berkley | Physician Assistant | 760 Washburn Ave Ste 5/6, Corona, CA 92882-3303 | 2009-09-17 |
| 1740420918 | Sean David Totten | Physician Assistant | 1492 Fairmont Dr, Corona, CA 92882 | 2009-03-02 |
| 1477745768 | Rose M Ruiz-flores | Physician Assistant | 1530 W 6th St Ste 109, Corona, CA 92882-2784 | 2007-08-10 |
| 1902097926 | Lansdale John Peters | Physician Assistant | 1231 Kendrick Ct, Corona, CA 92881-8226 | 2007-08-06 |
| 1891865747 | Phuong Anh Thi La | Physician Assistant | 2071 Compton Ave, Suite 102, Corona, CA 92881-7278 | 2006-11-08 |
| 1366525461 | Carina Julie-ann Moscoso | Physician Assistant | 2250 S. Main St., Suite 201, Corona, CA 92882-2536 | 2006-10-23 |
| Find all providers in CORONA | ||||
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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.