DR. KELLY H PHAM (NPI# 1588641948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588641948 |
| Entity Type | Individual |
| Full Name | DR. KELLY H PHAM |
| Other Name | N/A N/A |
| Credential | D.O. |
| Practice Address |
6600 Bruceville Rd Sacramento CA 95823-4671 |
| Practice Telephone | 9166886187 |
| Practice Fax Number | 9166886126 |
| Mailing Telephone | 9166886187 |
| Mailing Fax Number | 9166886126 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2007-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
20A7793 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508300799 | Kelly Kim Dung Pham | Pharmacist | 6620 Summertrail Pl, Highland, CA 92346-6063 | 2016-12-07 |
| 1497136535 | Kelly Pham | Optometrist | 10934 Pebble Run Dr, Silver Spring, MD 20902-3683 | 2015-06-15 |
| 1649730557 | Kelly Pham | Student in an Organized Health Care Education/Training Program | 701 W Pratt St Rm 474, Baltimore, MD 21201-1023 | 2019-03-25 |
| 1932696457 | Kelly Pham | Pharmacist | 3151 University Ave, San Diego, CA 92104-2039 | 2018-04-19 |
| 1841734126 | Kelly Pham | Dental Hygienist | 1211 Meridian Ave, San Jose, CA 95125-5210 | 2016-12-06 |
| 1295010072 | Kelly Pham | Pharmacist | 3099 Bethel Rd Se, Port Orchard, WA 98366-2432 | 2011-10-12 |
| 1114231669 | Kelly T Pham | Student in an Organized Health Care Education/Training Program | 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | 2010-07-27 |
| 1417274689 | Kelly Loraine Dauer Pham | Physical Medicine & Rehabilitation | 4800 Sand Point Way Ne, Department of Pediatric Rehabilitation Medicine, Seattle, WA 98105-3901 | 2010-04-28 |
| Street Address |
6600 BRUCEVILLE RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254295 | Lon Jacobus Taff | Obstetrics & Gynecology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2005-09-08 |
| 1770195232 | Alexi Taylor Spoto | Pharmacist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-08-17 |
| 1134747306 | Poline Chhun Engeman X | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-07-13 |
| 1659904365 | Regan Watson | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1740813443 | Caitlin Elizabeth Galvez | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1750912119 | Maria Monserrat Perez | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-03 |
| 1699312645 | Kayla Renee Hazel | Speech-Language Pathologist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-12-09 |
| 1366087553 | Michelle Schiltz | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823 | 2019-11-12 |
| 1013564145 | Katheirne Anne Lloyd | Dietitian, Registered | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-22 |
| 1699320077 | Sarah Lackey | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255535647 | John Michael Webb | Radiology | 4860 Y St, Dept. of Radiology, Suite 3100, Sacramento, CA 95817-2307 | 2007-06-12 |
| 1548487622 | Elma F Abella | Radiology | 3195 Folsom Blvd, Sacramento, CA 95816-5202 | 2007-04-19 |
| 1346281284 | Chirdeep Bhutani | Radiology | 3301 C St, Suite 500, Sacramento, CA 95816-3300 | 2006-06-10 |
| 1790764397 | David K. Shelton | Radiology | 4860 Y St, Suite 3100 Acc, Sacramento, CA 95817-2307 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952731747 | Daniel Peter Calabrese | Radiology | 1287 Innsbruck Drive, Lake Arrowhead, CA 92352 | 2013-11-15 |
| 1700226933 | Focus Medical Imaging | Radiology | 267 S San Pedro St, Suite 261, Los Angeles, CA 90012-3874 | 2013-07-02 |
| 1831453661 | Michael Arthur Lopiano | Radiology | 3098 Seaview Ave, Ventura, CA 93001-4242 | 2012-06-26 |
| 1568792588 | Stanley Furmanski | Radiology | 1015 Gayley Avenue, #256, Los Angeles, CA 90024 | 2010-01-14 |
| 1093040123 | Thomas Armstrong Hope | Radiology | Ucsf Department of Radiology, 505 Parnassus Avenue, M-391, San Francisco, CA 94143-0001 | 2009-10-07 |
| 1235338112 | John Jaeyoung Shim | Radiology | 1000 W Carson St., Box 29, Harbor-ucla Dept of Radiology, Torrance, CA 90509 | 2007-07-12 |
| 1023212297 | Aaron Esrig | Radiology | 2505 Kilo Way, Laguna Beach, CA 92651-4020 | 2007-06-12 |
| 1992844088 | Medical Center Magnetic Imaging, LLC | Radiology | 3000 Telegraph Ave, Oakland, CA 94609-3218 | 2007-02-05 |
| 1811034325 | Daniel Powers | Radiology | 6200 Wilshire Blvd Ste 1006, Los Angeles, CA 90048-5811 | 2007-01-31 |
| 1437248606 | Franklin G Woo | Radiology | 9902 Big Sur Dr, Huntington Beach, CA 92646-5312 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.