Active NPI
Lien Pham XI
- Marriage & Family Therapist
- West Sacramento, CA
National Provider Identifier
1164671616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT 89350
- Practice address
- 500 Jefferson Blvd Ste B
West Sacramento, CA 95605 - Phone
- (530) 604-5959
- Fax
- (916) 504-4319
- NPI assigned
- Sep 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT 89350 | CA | Primary |
Addresses
Primary practice location
500 Jefferson Blvd Ste B
West Sacramento, CA 95605
Mailing address
500 Jefferson Blvd Ste B
West Sacramento, CA 95605
Phone (530) 601-5959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT 89350 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1164671616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 JEFFERSON BLVD STE B",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "95605",
"telephone_number": "530-601-5959",
"fax_number": "916-504-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 JEFFERSON BLVD STE B",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "95605",
"telephone_number": "530-604-5959",
"fax_number": "916-504-4319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XI",
"first_name": "LIEN",
"middle_name": "PHAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT 89350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.