TIMOTHY PHAM (NPI# 1407871015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407871015 |
Entity Type | Individual |
Full Name | TIMOTHY PHAM |
Credential | D.P.M. |
Practice Address |
1879 Lundy Ave # 122 San Jose CA 95131-1834 |
Practice Telephone | 4084333930 |
Practice Fax Number | 4084333931 |
Mailing Telephone | 4084333930 |
Mailing Fax Number | 4084333931 |
Enumeration Date | 2006-07-13 |
Last Update Date | 2007-12-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000E39370 | CA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 000E39370 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588934541 | Timothy Q Pham | Chiropractor | 7240 Ne Sandy Blvd, Portland, OR 97213-5741 | 2012-01-09 |
1457549826 | Timothy Anh Pham | Allergy & Immunology | 301 W Huntington Dr, 206, Arcadia, CA 91007-3462 | 2007-10-10 |
1982752945 | Timothy Q. Pham | Internal Medicine | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2007-01-08 |
Street Address |
1879 LUNDY AVE # 122 |
City | SAN JOSE |
State | CA |
Zip Code | 95131-1834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346881489 | Herbal Lands Inc | Acupuncturist | 2485 Autumnvale Dr, Ste D, San Jose, CA 95131 | 2019-09-30 |
1194373340 | Leylard Santos Caballes | Home Health Aide | 2272 Zoria Circle, San Jose, CA 95131 | 2019-08-30 |
1851953848 | Nu Herbal House | Chiropractor | 2092 Concourse Dr #85, San Jose, CA 95131 | 2019-07-01 |
1316417900 | Peter Cellarius | Behavior Technician | 2010 N. First St. Ste 402, San Jose, CA 95131 | 2018-11-27 |
1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
1376072637 | Lee's Care Home | Assisted Living Facility | 5225 Gallant Fox Avenue, San Jose, CA 95131 | 2017-06-08 |
1972984649 | Maria De La Luz Gonzalez | Counselor | 1885 Lundy Ave. Suite 223, San Jose, CA 95131 | 2015-06-17 |
1720470412 | Bridget Martinez | Physical Therapist | 1172 Murphy Ave #227, San Jose, CA 95131 | 2015-03-04 |
1609275593 | Cheryl Lozano | Community Health Worker | 1885 Lundy Ave, Ste 223, San Jose, CA 95131 | 2014-08-18 |
Find all providers in zip 95131 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396195475 | Shengsheng Guan | Podiatrist | 3150 Almaden Expy Ste 205, San Jose, CA 95118-1253 | 2016-06-20 |
1033434204 | Bruce I Lerman Dpm, Inc | Podiatrist | 2101 Forest Ave Ste 118, San Jose, CA 95128-1472 | 2010-03-31 |
1629272380 | Hoan Van | Podiatrist | 2114 Senter Rd Ste 14, San Jose, CA 95112-2608 | 2007-06-14 |
1174675508 | S. Chris Horine Dpm & Najwa M. Javed Dpm | Podiatrist | 2505 Samaritan Dr Ste 509, San Jose, CA 95124-4015 | 2007-01-17 |
1346391620 | Aderonke Ojo | Podiatrist | 5504 Monterey Hwy, San Jose, CA 95138-1529 | 2007-01-15 |
1598862468 | Samaritan Podiatry Group Inc. | Podiatrist | 2577 Samaritan Dr Ste 750, San Jose, CA 95124-4109 | 2006-09-20 |
1023112554 | Thomas John Elardo | Podiatrist | 2577 Samaritan Dr Ste 840, San Jose, CA 95124-4109 | 2006-09-13 |
1205859584 | Hector L Cervantes | Podiatrist | 2114 Mckee Road, San Jose, CA 95116 | 2006-07-26 |
1649270620 | Dennis Hwa Hum | Podiatrist | 2242 Camden Ave, Suite 204, San Jose, CA 95124-2029 | 2005-07-29 |
1639174303 | Spero Christi Horine | Podiatrist | 2505 Samaritan Dr, Ste 509, San Jose, CA 95124-4015 | 2005-06-17 |
Find all providers in SAN JOSE |
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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.