Active NPI
Emma T Pham
- Social Worker
- San Jose, CA
National Provider Identifier
1255989679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 160 E Virginia St Ste 100
San Jose, CA 95112-5865 - Phone
- (408) 287-6200
- NPI assigned
- Aug 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
160 E Virginia St Ste 100
San Jose, CA 95112-5865
Mailing address
160 E Virginia St Ste 100
San Jose, CA 95112-5865
Other practice location 1
17732 Beach Blvd Ste G
Huntington Beach, CA 92647-6881
Phone (714) 655-7142
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Basics, Inc. | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1255989679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E VIRGINIA ST STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951125865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E VIRGINIA ST STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951125865",
"telephone_number": "408-287-6200"
}
],
"practiceLocations": [
{
"address_1": "17732 Beach Blvd Ste G",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926476881",
"country_code": "US",
"telephone_number": "714-655-7142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "EMMA",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2021-08-31",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.