KEVIN GUNNEY PHAM (NPI# 1407119852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407119852 |
| Entity Type | Individual |
| Full Name | KEVIN GUNNEY PHAM |
| Credential | D.O. |
| Practice Address |
620 Shadow Lane Las Vegas NV 89106-4194 |
| Practice Telephone | 7024776572 |
| Practice Fax Number | 7023888431 |
| Mailing Telephone | 7024776572 |
| Mailing Fax Number | 7023888431 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2018-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | DO1944 | NV | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | SL0902 | NV | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 20A14043 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356904742 | Kevin Q Pham | Pharmacist | 13191 Hilton Ln, Garden Grove, CA 92843-2222 | 2019-04-21 |
| 1619472701 | Kevin Van Pham | Optometrist | 2110 Deerwood Ct, Pearland, TX 77581-2284 | 2018-03-29 |
| 1487963773 | Kevin Hoang Pham | Pharmacist | 14047 W Windsor Ave, Goodyear, AZ 85395-2485 | 2010-10-04 |
| 1295055747 | Kevin Pham | Pharmacist | 153 E Gladstone St, Azusa, CA 91702-4926 | 2010-06-08 |
| 1003900705 | Kevin Thang Pham I | Dentist | 7746 Lorraine Ave Ste 204, Stockton, CA 95210-4234 | 2006-10-03 |
| 1306456702 | Kevin Minh-huy Pham | Dentist | 344 Nw Loop 564 Ste 400, Mineola, TX 75773-1128 | 2020-07-31 |
| 1811524911 | Kevin Minh Pham | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2020-03-26 |
| 1629531868 | Kevin Pham | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2019-04-12 |
| 1770043481 | Kevin Pham | Behavior Technician | 5762 Bolsa Ave Ste 100, Huntington Beach, CA 92649-1172 | 2019-03-20 |
| 1235697699 | Kevin Pham | Behavior Technician | 1101 S Winchester Blvd Ste N-260, San Jose, CA 95128-3901 | 2019-03-05 |
| Street Address |
620 SHADOW LANE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184893133 | Tracy Tuyet Tran | Internal Medicine | 620 Shadow Lane, Valley Hospital Medical Center, Las Vegas, NV 89106-4194 | 2008-02-25 |
| 1144886151 | Pacific Vo-vitug | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2019-05-15 |
| 1184280497 | Thomas Lemuel Ilustrisimo | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2019-05-13 |
| 1649835661 | Esther Kim | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2019-05-06 |
| 1023509502 | Shivali Gupta | Orthopaedic Surgery | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2018-05-21 |
| 1710477443 | Alan Alexander Arismendez | Psychiatry & Neurology | 620 Shadow Lane, Las Vegas, NV 89106 | 2018-05-17 |
| 1437649795 | Matthew Christopher Hanewich | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2018-05-12 |
| 1679062186 | Gina Robinson | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2018-05-09 |
| 1740718535 | Priya Ramgopal Nileshwar | Internal Medicine | 620 Shadow Lane, Las Vegas, NE 89106-4194 | 2017-05-24 |
| 1073963583 | Thanh Cao | Internal Medicine | 620 Shadow Lane, Las Vegas, NV 89106-4194 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403793 | Seasons Healthcare, Inc. | Hospitalist | 6467 Carmel Creek Ave, Las Vegas, NV 89139-7021 | 2020-10-05 |
| 1285080218 | River Falls Consulting Corporation | Hospitalist | 408 Madison Taylor Pl, Las Vegas, NV 89144-1394 | 2016-05-09 |
| 1215359575 | Singh Medical Pllc | Hospitalist | 6671 Las Vegas Blvd S Unit 200, Las Vegas, NV 89119-3289 | 2014-01-06 |
| 1386079184 | Paul R Ponnaiya Md A Professional Corporation | Hospitalist | 513 Puenta Del Rey St, Las Vegas, NV 89138-2011 | 2013-09-11 |
| 1508194473 | Premiere Physicians Network LLP | Hospitalist | 1401 Pine Leaf Dr, Las Vegas, NV 89144-1648 | 2009-12-03 |
| 1154583920 | Southern Nevada House Calls | Hospitalist | 7490 W Sahara Ave, Las Vegas, NV 89117-2740 | 2008-07-02 |
| 1487631917 | Healthcare Partners Medical Group Coats Ltd | Hospitalist | 4880 S. Wynn Rd, Las Vegas, NV 89103-5406 | 2005-12-27 |
| 1427534809 | Nv Pacs 2 LLC | Hospitalist | 10550 Park Run Dr, Las Vegas, NV 89144-4575 | 2018-07-18 |
| 1902391162 | Bagwell Elite Hospitalists Pllc | Hospitalist | 150 E Harmon Ave, Las Vegas, NV 89109-4533 | 2018-06-28 |
| 1992244438 | Nevada Acute Medical Services-mandavia 1 PC | Hospitalist | 2500 N Tenaya Way, Las Vegas, NV 89128-0482 | 2017-02-16 |
| 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.