Active NPI
Cardin Ngoc Pham, RBT
- Behavior Technician
- Sacramento, CA
National Provider Identifier
1245731587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 16-15069
- Practice address
- 1901 Royal Oaks Dr
Sacramento, CA 95815-3868 - Phone
- (916) 923-1789
- NPI assigned
- Feb 22, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 16-15069 | CA | Primary |
Addresses
Primary practice location
1901 Royal Oaks Dr
Sacramento, CA 95815-3868
Mailing address
1901 Royal Oaks Dr
Sacramento, CA 95815-3868
Phone (916) 923-1789
Other practice location 1
8950 Cal Center Dr Ste 137
Sacramento, CA 95826-3236
Phone (916) 932-3172
Other practice location 2
2751 Wilmington Ave
Sacramento, CA 95820-1048
Phone (916) 923-1789
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 |
|---|---|---|---|
| 16-15069 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1245731587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 ROYAL OAKS DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958153868",
"telephone_number": "916-923-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 ROYAL OAKS DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958153868",
"telephone_number": "916-923-1789"
}
],
"practiceLocations": [
{
"address_1": "8950 Cal Center Dr Ste 137",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958263236",
"country_code": "US",
"telephone_number": "916-932-3172",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2751 Wilmington Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958201048",
"country_code": "US",
"telephone_number": "916-923-1789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "CARDIN",
"middle_name": "NGOC",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "16-15069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.