TRACY PHAM (NPI# 1437694627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437694627 |
| Entity Type | Individual |
| Full Name | TRACY PHAM |
| Credential | RN |
| Practice Address |
9451 Indianapolis Ave Huntington Beach CA 92646-5955 |
| Practice Telephone | 7145939630 |
| Practice Fax Number | 7149645321 |
| Mailing Telephone | 7145939630 |
| Mailing Fax Number | 7149645321 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 95041403 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164973822 | Tracy Pham | Pharmacist | 1750 Pacific Ave # A, Long Beach, CA 90813-1715 | 2016-10-18 |
| 1922608793 | Tracy Tram Pham | Pharmacist | 700 E Ennis Ave, Ennis, TX 75119-4209 | 2020-10-29 |
| 1104314392 | Tracy Pham | Pharmacist | 210 Mount Hermon Rd, Scotts Valley, CA 95066-4009 | 2018-04-24 |
| 1134649890 | Tracy Pham | Dentist | 4000 W Florida Ave, Hemet, CA 92545 | 2017-06-23 |
| 1760844047 | Tracy Do Thuc Pham | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2016-03-24 |
| 1649676461 | Tracy Pham | Pharmacist | 3030 Harbor Blvd Ste A, Costa Mesa, CA 92626-2564 | 2014-11-05 |
| 1760725873 | Tracy Hoa Pham | Occupational Therapist | 400 S 43rd St, Renton, WA 98055-5714 | 2013-03-27 |
| 1255625034 | Tracy T Pham | Pharmacist | 2270 N Bellflower Blvd, Long Beach, CA 90815-2017 | 2011-06-08 |
| 1538322367 | Tracy Pham | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2008-07-02 |
| 1619166147 | Tracy L. Pham | Pediatrics | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-10-22 |
| Street Address |
9451 INDIANAPOLIS AVE |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92646-5955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093807661 | Alzheimer's Family Services Center | Clinic/Center | 9451 Indianapolis Ave, Huntington Beach, CA 92646-5955 | 2006-09-29 |
| 1336684513 | Traci Roundy | Registered Nurse | 9451 Indianapolis Ave, Huntington Beach, CA 92646-5955 | 2016-12-27 |
| 1215472493 | Roxanne Lee Segroves | Registered Nurse | 9451 Indianapolis Ave, Huntington Beach, CA 92646-5955 | 2016-12-27 |
| 1619411154 | Corinne Enos | Social Worker | 9451 Indianapolis Ave, Huntington Beach, CA 92646-5955 | 2016-12-16 |
| 1033653977 | Brenda Marily Ramirez | Social Worker | 9451 Indianapolis Ave, Huntington Beach, CA 92646-5955 | 2016-12-12 |
| 1548704612 | Michele Nelson-chung | Marriage & Family Therapist | 9451 Indianapolis Ave, Huntington Beach, CA 92646-5955 | 2016-12-08 |
| 1669915070 | Cheryl Alvarez | Psychologist | 9451 Indianapolis Ave, Huntington Beach, CA 92646-5955 | 2016-12-02 |
| 1487817557 | Monica Ponce | Social Worker | 9451 Indianapolis Ave, Huntington Beach, CA 92646-5955 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809000 | Geraldine Anne Loughran-beutler | Registered Nurse | 9941 Hot Springs Dr, Huntington Beach, CA 92646 | 2018-11-09 |
| 1740646934 | Srinivasa Murthy | Pediatrics | 8851 Baywood Drive, Huntington Beach, CA 92646 | 2016-01-05 |
| 1134584436 | A & A Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 9106 Adams Ave, Huntington Beach, CA 92646 | 2015-12-31 |
| 1053776302 | A&a Pharmacies, Inc. | Pharmacy | 9106 Adams Avenue, 9108, Huntington Beach, CA 92646 | 2015-12-30 |
| 1194101956 | The Piercy Group, Inc. | Physical Therapist | 19032 Magnolia St. B, Huntington Beach, CA 92646 | 2015-08-04 |
| 1033596788 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 9110 Adams Avenue, Huntington Beach, CA 92646 | 2015-05-01 |
| 1427446640 | Celline Thanh Pham Dds, Inc | Dentist | 19059 Bushard St, Huntington Beach, CA 92646 | 2014-12-23 |
| 1538565320 | Orange County Urgent Care #3 Inc. | Clinic/Center | 10026-10028 Adams Avenue, Huntington Beach, CA 92646 | 2014-11-06 |
| 1184065948 | Megan Price | Behavioral Analyst | 8902 Albatross, Huntington Beach, CA 92646 | 2013-07-09 |
| 1699029504 | Jean-pierre Jacques Dufour | Family Medicine | 8952 Faust Cir., Huntington Beach, CA 92646 | 2012-10-30 |
| Find all providers in zip 92646 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056350 | Rebecca Mary Westergaard | Registered Nurse | 19581 Constellation Ln, Huntington Beach, CA 92646-3705 | 2020-09-07 |
| 1003426032 | John Michael Lear | Registered Nurse | 4921 Hilo Cir, Huntington Beach, CA 92649-2306 | 2020-08-04 |
| 1871116004 | Jace Douglas Jacobsen | Registered Nurse | 6442 Gloria Dr, Huntington Beach, CA 92647-4226 | 2020-05-21 |
| 1033731872 | Kimberly Garrity | Registered Nurse | 16847 Roosevelt Ln, Huntington Beach, CA 92649-4002 | 2020-05-14 |
| 1043872260 | Kristina K. Lovelace | Registered Nurse | 7551 Amazon Dr Unit C, Huntington Beach, CA 92647-8653 | 2019-07-09 |
| 1447787619 | Kristen Viana | Registered Nurse | 22201 Cape May Ln, Huntington Beach, CA 92646-8416 | 2017-05-17 |
| 1780138198 | Michelle Lea Waldbaum | Registered Nurse | 5902 Nugget Cir, Huntington Beach, CA 92647-2131 | 2016-08-15 |
| 1811441454 | Lydia Forbang | Registered Nurse | 6100 Edinger Ave, 724, Huntington Beach, CA 92647-3242 | 2016-08-11 |
| 1326409061 | Christina Vosburg | Registered Nurse | 1325 Delaware St Apt 102, Huntington Beach, CA 92648-3728 | 2016-03-08 |
| 1659737633 | Carl William Glover | Registered Nurse | 1936 Pine St, Huntington Beach, CA 92648-2761 | 2016-01-07 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92646 |
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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.