JENNIE LYNN PHAM (NPI# 1720558018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720558018 |
| Entity Type | Individual |
| Full Name | JENNIE LYNN PHAM |
| Credential | PA-C |
| Practice Address |
3100 Telegraph Ave Oakland CA 94609 |
| Mailing Address |
3100 Telegraph Ave Oakland CA 94609-3239 |
| Practice Telephone | 5108696511 |
| Mailing Telephone | 5108696511 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13 Montgomery, Irvine, CA 926041928 | 9497421027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699972471 | Jennie Bichchi Pham | Counselor | 9353 Valley Blvd, Rosemead, CA 91770-1934 | 2007-06-27 |
| Street Address |
3100 TELEGRAPH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154313237 | East Bay Family Practice Medical Group Inc | Family Medicine | 3100 Telegraph Ave, Ste 2109, Oakland, CA 94609-3210 | 2005-08-16 |
| 1861091225 | Amberlee Amaral | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-10-17 |
| 1699382325 | Carly Callen Dunlap | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-09-27 |
| 1356958466 | Minjung Kim | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-09-23 |
| 1326654971 | Nathan Namanny | Student in an Organized Health Care Education/Training Program | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-09-18 |
| 1598371486 | Shani Samedi | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-09-16 |
| 1831708569 | Lindsay Nishi Fisher | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-07-29 |
| 1023636305 | Shi Zhang | Student in an Organized Health Care Education/Training Program | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-07-13 |
| 1235759218 | Michael Matias | Registered Nurse | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-04-20 |
| 1316574239 | Jasdeep Singh Jassar | Student in an Organized Health Care Education/Training Program | 3100 Telegraph Ave, Oakland, CA 94609-3239 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1245855527 | Susan Solar Pers | Physician Assistant | 5818 Clover Dr, Oakland, CA 94618-1623 | 2020-06-11 |
| 1790322253 | Reta Samimi | Physician Assistant | 47 Anair Way, Oakland, CA 94605-4873 | 2019-12-04 |
| 1316408453 | Henry Chhiv | Physician Assistant | 928 Franklin St Apt 535, Oakland, CA 94607-4207 | 2019-03-29 |
| 1427523893 | Sarah Jean Backer | Physician Assistant | 1 Lakeside Dr Apt 701, Oakland, CA 94612-4647 | 2018-10-11 |
| 1558845891 | Abigail Romero | Physician Assistant | 47 Agnes St, Oakland, CA 94618-2522 | 2018-09-22 |
| 1932604428 | Meegan Ann Mccullagh | Physician Assistant | 9 Pleasant St., Oakland, ME 04963 | 2018-03-27 |
| 1164937884 | Erin Shea Hays | Physician Assistant | 1411 E 31st St # K7, Oakland, CA 94602-1018 | 2017-12-04 |
| 1407369689 | Kristinalisa Maka | Physician Assistant | 363 41st St, Oakland, CA 94609-2632 | 2017-11-10 |
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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.