TIMOTHY PHAM


Address: 1879 Lundy Ave # 122, San Jose, CA 95131-1834
Phone: 4084333930

TIMOTHY PHAM (NPI# 1407871015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
000E39370 CA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 000E39370 05

Other Providers TIMOTHY PHAM

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

Office Location

Street Address 1879 LUNDY AVE # 122
City SAN JOSE
State CA
Zip Code 95131-1834

Providers in the same zip code

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 Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City SAN JOSE
Zip Code 95131

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Dataset Information

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.

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