JESSICA VAN PHAM (NPI# 1689180747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689180747 |
| Entity Type | Individual |
| Full Name | JESSICA VAN PHAM |
| Practice Address |
1011 Baldwin Park Blvd Baldwin Park CA 91706-5806 |
| Mailing Address |
16573 Teak Cir Fountain Valley CA 92708-2244 |
| Practice Telephone | 6268511011 |
| Mailing Telephone | 7143694439 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 40403 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861924466 | Jessica Pham | Pharmacist | 17 Audubon Ave, New York, NY 10032-2201 | 2017-04-01 |
| 1225489552 | Jessica Pham | Pharmacist | 401 Bicentennial Way Ste 195, Santa Rosa, CA 95403-2149 | 2016-06-28 |
| 1730787391 | Jessica Pham | Pharmacist | 950 Herrington Rd, Lawrenceville, GA 30044-7217 | 2020-10-15 |
| 1518579226 | Jessica T Pham | Dentist | 23945 Franz Rd Ste A, Katy, TX 77493-2047 | 2020-08-24 |
| 1922623545 | Jessica Pham | Behavior Technician | 11650 Iberia Pl Ste 130, San Diego, CA 92128-2431 | 2020-06-09 |
| 1174174007 | Jessica Pham | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-09-23 |
| 1467002618 | Jessica Hanh Pham | Physician Assistant | 3533 Matlock Rd, Arlington, TX 76015-3604 | 2019-09-18 |
| 1902462914 | Jessica Pham | Student in an Organized Health Care Education/Training Program | 19500 Se Stark St, Portland, OR 97233-5757 | 2019-05-15 |
| 1932624459 | Jessica Michelle Ai-vy Pham | Counselor | 131 W Midway Dr, Anaheim, CA 92805-6507 | 2017-08-04 |
| 1649644220 | Jessica Pham | Occupational Therapist | 201 N College Dr, Suite203, Santa Maria, CA 93454-4614 | 2015-11-19 |
| Street Address |
1011 BALDWIN PARK BLVD |
| City | BALDWIN PARK |
| State | CA |
| Zip Code | 91706-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987474 | Kirsten Jeanne Gardner | Pediatrics | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2005-07-26 |
| 1215556535 | Thuyet Xuan Nguyen | Pharmacy | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2020-04-16 |
| 1437797768 | David Leonel Orellana | Physical Therapist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-12-17 |
| 1427695485 | Meera Khalil Alshamali | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-12-09 |
| 1396382461 | Jin Hee Kim | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-12-07 |
| 1104463470 | Diana Reyes | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-12-05 |
| 1053958223 | Huu-tin Dang | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-12-05 |
| 1578109401 | Frances Angelica Bono | Dietitian, Registered | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-11-26 |
| 1093365330 | Christopher Vu | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-09-18 |
| 1629639638 | Stevie Lopez | Physical Medicine & Rehabilitation | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206700 | Sistine Manor Inc | Assisted Living Facility | 12755 Torch St, Baldwin Park, CA 91706 | 2019-10-09 |
| 1891268850 | Rodriguez Cruz Dental, Inc. | Clinic/Center | 14323 Ramona Blvd., Baldwin Park, CA 91706 | 2019-01-02 |
| 1942788633 | Desiree Montoya | Counselor | 13030 Ramona Blvd Unit 65, Baldwin Park, CA 91706 | 2018-08-03 |
| 1861978215 | Cassidy Alyse Harton | Counselor | 4514 Grace Ave, Baldwin Park, CA 91706 | 2018-07-18 |
| 1881146751 | Melissa Valenzuela | Nurse Practitioner | 14362 E. Ramona Blvd, Baldwin Park, CA 91706 | 2016-10-26 |
| 1629524228 | Trosclair Seals | Counselor | 36 S Kinneola Ave, Pasad, CA 91706 | 2016-09-01 |
| 1487025854 | Janeth Estevez | Case Manager/Care Coordinator | 14123 Masline St, Baldwin Park, CA 91706 | 2015-10-12 |
| 1932579570 | Bls Dental Group | Clinic/Center | 14032 Ramona Blvd., Bladwin Park, CA 91706 | 2015-09-25 |
| 1487068748 | Prakash P. Patel D.ds Inc | Dentist | 4138 N. Maine Ave, Suite N-3, Baldwin Park, CA 91706 | 2014-06-16 |
| 1295076891 | Julia Lauria | Rehabilitation Practitioner | 11317 Rmaona Blvd., Ste.c, Irwindale, CA 91706 | 2013-03-06 |
| Find all providers in zip 91706 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053810549 | Olivia Kung | Pharmacist | 4129 Kenmore Ave, Baldwin Park, CA 91706-2948 | 2018-02-09 |
| 1013456102 | Brandon H Ho | Pharmacist | 1011 Baldwin Park Blvd # 2nd, 2nd Fl Outpatient Pharmacy, Baldwin Park, CA 91706-5806 | 2017-02-22 |
| 1780135624 | Kevin Thu | Pharmacist | 13809 Los Angeles St, Baldwin Park, CA 91706-3041 | 2016-10-15 |
| 1447623368 | Lucy Hsieh | Pharmacist | 3151 Baldwin Park Blvd, Baldwin Park, CA 91706-4783 | 2015-11-02 |
| 1821469826 | Juanqi Zhu | Pharmacist | 14131 Dunia St, Baldwin Park, CA 91706-2528 | 2015-10-15 |
| 1932539798 | Lamont Vuong | Pharmacist | 4339 Center St, Baldwin Park, CA 91706-2978 | 2013-11-14 |
| 1386911071 | Berenice Carbayo | Pharmacist | 14101 Francisquito Ave, Baldwin Park, CA 91706-6145 | 2011-11-23 |
| 1275849945 | Thanh-truc Ngo | Pharmacist | 14121 Ramona Blvd, Baldwin Park, CA 91706-3146 | 2010-08-19 |
| 1891888111 | Mario Alfredo Jimenez | Pharmacist | 14300 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2006-09-30 |
| 1447866025 | Armin Ataee | Pharmacist | 1550 Puente Ave, Baldwin Park, CA 91706-5923 | 2020-09-19 |
| Find all providers in BALDWIN PARK | ||||
| City | BALDWIN PARK |
| Zip Code | 91706 |
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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.