HUNG TONY PHAM (NPI# 1760765085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760765085 |
| Entity Type | Individual |
| Full Name | HUNG TONY PHAM |
| Credential | PA |
| Practice Address |
655 S Central Valley Hwy Shafter CA 93263-2790 |
| Mailing Address |
659 S Central Valley Hwy Shafter CA 93263-2790 |
| Practice Telephone | 6617469194 |
| Mailing Telephone | 6614591900 |
| Mailing Fax Number | 6614591974 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2012-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA21904 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204020 | Hung Pham | Pharmacist | 4000 New Boston Rd, Texarkana, TX 75501-2819 | 2020-10-28 |
| 1881258739 | Hung Pham | Behavior Technician | 20101 Hamilton Ave Ste 100, Torrance, CA 90502-1351 | 2019-04-25 |
| 1508353731 | Hung Quoc Pham | Dentist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2018-04-13 |
| 1023548161 | Hung Nhat Pham | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2017-06-12 |
| 1033650023 | Hung Tan Pham | Internal Medicine | 4190 City Ave, Philadelphia, PA 19131-1626 | 2017-03-10 |
| 1750760336 | Hung Pham | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd # Ms 4015, Kansas City, KS 66160 | 2015-05-28 |
| 1487933099 | Hung Trong Pham | Internal Medicine | 10800 Magnolia Ave, Internal Medicine - Hospitalist Department, Riverside, CA 92505-3043 | 2011-08-12 |
| 1225167919 | Hung Thanh Pham | Ophthalmology | 1040 Nw 22nd Ave, Suite 200, Portland, OR 97210-3057 | 2007-03-05 |
| 1174613913 | Hung Quoc Pham | Social Worker | 12966 Euclid St, Ste. 515, Garden Grove, CA 92840-5200 | 2006-10-13 |
| 1851498968 | Hung Duy Pham | Dentist | 1500 Southgate Ave, Suite 210, Daly City, CA 94015-2259 | 2006-09-20 |
| Street Address |
655 S CENTRAL VALLEY HWY |
| City | SHAFTER |
| State | CA |
| Zip Code | 93263-2790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880622 | Agnes Gan Ong | Dentist | 655 S Central Valley Hwy, Shafter, CA 93263-2790 | 2005-06-09 |
| 1518433382 | Omni Family Health | Clinic/Center | 655 S Central Valley Hwy, Shafter, CA 93263-2790 | 2018-10-19 |
| 1407366313 | Yonui K Smith | Licensed Vocational Nurse | 655 S Central Valley Hwy, Shafter, CA 93263-2790 | 2017-10-05 |
| 1447778378 | Rony-nichole Quintana | Nurse Practitioner | 655 S Central Valley Hwy, Shafter, CA 93263-2790 | 2017-08-30 |
| 1528593530 | Amanda Bilik | Registered Nurse | 655 S Central Valley Hwy, Shafter, CA 93263-2790 | 2017-04-27 |
| 1407225139 | Bhadraksh P Patel | Pharmacist | 655 S Central Valley Hwy, Shafter, CA 93263-2790 | 2015-09-23 |
| 1194194878 | Tadeus Tarmidi | Pharmacist | 655 S Central Valley Hwy, Shafter, CA 93263-2790 | 2015-09-23 |
| 1356737621 | Omni Family Health | Dental Hygienist | 655 S Central Valley Hwy, Shafter, CA 93263-2790 | 2015-04-13 |
| 1114150703 | Manjot Kaur Dhaliwal | Physician Assistant | 655 S Central Valley Hwy, Shafter, CA 93263-2790 | 2009-08-28 |
| 1750538062 | Amgad A Faragalla | Dentist | 655 S Central Valley Hwy, Shafter, CA 93263-2790 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265958235 | Danessa Thorbrogger | Nurse Practitioner | 565 Kern Street, Shafter, CA 93263 | 2017-08-21 |
| 1376994533 | Shafter Urgent Care | Clinic/Center | 501 Munzer St Ste A, Shafter, CA 93263 | 2016-06-28 |
| 1821442658 | Huy Xuan Dang | Pharmacist | 825 Central Valley Hwy Ste A, Shafter, CA 93263 | 2016-04-18 |
| 1811362908 | Shafter Pediatrics | Pediatrics | 501 Munzer St, Suite C, Shafter, CA 93263 | 2015-12-01 |
| 1174769616 | Parrott Gordon & Associates L.p. | Dentist | 1110 E. Lerdo Highway, 200, Shafter, CA 93263 | 2009-01-06 |
| 1164696449 | Michael Komin Md Medical Corportion | Preferred Provider Organization | 1150 E Lerdo Hwy #c, Shafter, CA 93263 | 2008-04-17 |
| 1154526176 | Christine M Armstrong | Counselor | 151 Munzes St, Shefter, CA 93263 | 2007-06-19 |
| 1336327154 | Omni Family Health | Clinical Medical Laboratory | 659 S Central Valley Hwy, Shafter, CA 93263 | 2008-02-04 |
| 1477677821 | Joel N Cooper Physical Therapist Inc. | Physical Therapist | 142 E Tulare Ave, Shafter, CA 93263-1834 | 2007-03-19 |
| 1023060571 | Ggnsc Shafter Lp | Skilled Nursing Facility | 140 E Tulare Ave, Shafter, CA 93263-1834 | 2006-05-16 |
| Find all providers in zip 93263 | ||||
| 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 |
|---|---|---|---|---|
| 1114150703 | Manjot Kaur Dhaliwal | Physician Assistant | 655 S Central Valley Hwy, Shafter, CA 93263-2790 | 2009-08-28 |
| 1962663005 | Mary Jane Maun-viduya | Physician Assistant | 655 S Central Valley Hwy, Shafter, CA 93263-2790 | 2008-06-20 |
| 1942229281 | James Fuller | Physician Assistant | 659 S Central Valley Hwy, Shafter, CA 93263-2790 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
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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.