Tam-Thao Thi Pham, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP20608 Issued in CA

Practice address

7514 Girard Ave
Suite 4
La Jolla, CA 92037-5149

Phone

(858) 754-1114

Fax

(800) 490-3126

NPI assigned

Dec 9, 2011

Last updated

Feb 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1255609913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 GIRARD AVE",
            "address_2": "SUITE 4",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375149",
            "telephone_number": "858-754-1114",
            "fax_number": "800-490-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 GIRARD AVE",
            "address_2": "SUITE 4",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375149",
            "telephone_number": "858-754-1114",
            "fax_number": "800-490-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TAM-THAO",
        "middle_name": "THI",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP20608",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 20608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danika Drue Pflueger
• Betty Ngoc Pham, M.D.
• Bryan Pham, MD
• John Thanh Pham
• Sylvie Pham, MD
• Tammy Pham, MD
• Tiffany Pham, PHARM.D
• Lily Phan
• Pharmaca Integrative Pharmacy, Inc.
• Jerold Scott Phelps, PH.D.

• Nurse Practitioner in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.