Ryan Duy Pham (NPI# 1245705086, PAC ID# 5799013660) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245705086 |
| PAC ID by PECOS | 5799013660 |
| Professional Enrollment ID | I20190830000742 |
| Full Name | Ryan Duy Pham |
| Organization Legal Name | MARQUE MEDICAL CLINIC, INC. |
| Address |
2075 San Joaquin Hills Rd Newport Beach CA 92660-6505 |
| Phone Number | 9497609222 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537345665 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 9497609222 | MARQUE MEDICAL CLINIC, INC. |
| 22461 Antonio Pkwy, Suite A135, Rancho Santa Margarita, CA 92688-2806 | 9497609222 | MARQUE MEDICAL CLINIC, INC. |
| Organization Legal Name | MARQUE MEDICAL CLINIC, INC. |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Christine Van Bokkem | Internal Medicine | Marque Medical Clinic, Inc. | 2315 Otay Lakes Rd, Suite 306, Chula Vista, CA 91915-1162 |
| Brandon Pourazima | Physician Assistant | Marque Medical Clinic, Inc. | 8970 Knott Ave, Buena Park, CA 90620-4137 |
| Jacqueline R Weir | Physician Assistant | Marque Medical Clinic, Inc. | 4490 Fanuel St, Suite 100, San Diego, CA 92109-8737 |
| Les A Mershon | Physician Assistant | Marque Medical Clinic, Inc. | 6136 Lake Murray Blvd, La Mesa, CA 91942-2502 |
| Jin Suk C Kim | General Practice | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Erin E Wood | Physician Assistant | Marque Medical Clinic, Inc. | 26831 Aliso Creek Rd, Suite 200, Aliso Viejo, CA 92656-5341 |
| Robert C Walker | Family Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Robert M Masoner | Internal Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Brian Jeffry Jackson | Nurse Practitioner | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Nathan A Kiskila | Family Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Street Address |
2075 SAN JOAQUIN HILLS RD |
| City | NEWPORT BEACH |
| State | CA |
| Zip | 92660-6505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jin Suk C Kim | General Practice | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Robert C Walker | Family Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Robert M Masoner | Internal Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Brian Jeffry Jackson | Nurse Practitioner | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Nathan A Kiskila | Family Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Philip Regis Fagan | General Practice | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Thomas Dabrowski | General Practice | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Spencer L Hirt | General Practice | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Sean Penwell | General Practice | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Alison Sims | Internal Medicine | Marque Medical Clinic, Inc. | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nirav B Savalia | Plastic and Reconstructive Surgery | 180 Newport Ctr Dr, Suite 170, Newport Beach, CA 92660 | |
| Joannie D Sun | Dermatology | Dermatology Associates of Orange County, Inc | 230 Newport Ctr Dr, 200 Advanced Dermatology of Orange, Newport Beach, CA 92660 |
| Rumana Mansur | Psychologist, Clinical | 180 Newport Ctr Dr, Suite 270d, Newport Beach, CA 92660 | |
| B B Rahavi | Rheumatology | 400 Newport Ctr Dr, 602a, Newport Beach, CA 92660 | |
| Thomas A Hendrickx | Physical Therapy | 2290 Se Bristol St, Suite 104, Newport Beach, CA 92660-0746 | |
| Lawson Victor Sealey | Chiropractic | 20151 Sw Birch St, Suite 200, Newport Beach, CA 92660-0776 | |
| Estera Han | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 20162 Sw Birch St, Suite 260, Newport Beach, CA 92660-0787 |
| Parth P Patel | Physical Therapy | Optimum Medical Clinics Inc | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 |
| Alejandro Gonzalez | Internal Medicine | Optimum Medical Clinics Inc | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 |
| Bettina T Limjoco | Physical Medicine and Rehabilitation | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0795 | |
| Find all physicians in zip 92660 | |||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NEWPORT BEACH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Ryan Duy Pham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.