Phamatech Incorporated

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D1078844 Issued in CA

Legal business name

PHAMATECH INCORPORATED

Doing business as

Phamatech Laboratories and Diagnostics

Practice address

15175 Innovation Drive
San Diego, CA 92128-3401

Phone

(858) 643-5555

Fax

(858) 635-5843

NPI assigned

Mar 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tuan H Pham

Title

President / Ceo

Phone

(888) 635-5840

Specialties & licenses 1

Addresses

Other names 1

• Phamatech Laboratories and Diagnostics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1023317781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15175 INNOVATION DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283401",
            "telephone_number": "858-643-5555",
            "fax_number": "858-635-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15175 INNOVATION DRIVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283401",
            "telephone_number": "858-643-5555",
            "fax_number": "858-635-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAMATECH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "888-635-5840"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1078844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phamatech Laboratories and Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phamatech Laboratories and Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tuongvy Pham
• Van N Pham
• Vicky Pham
• Victoria Pham, M.D.
• Yvonne Pham, M.D.
• Lucy Phan Vo, PHARMD
• Amy Quynhphi Phan, FNP-C
• Anthony Ein Phan
• Bao Phan, ATC
• Christina Phan, PHARMD

• Clinical Medical Laboratory in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.