Active NPI
Pamela Diem Chau Ho, LVN
- Licensed Practical Nurse
- Riverside, CA
National Provider Identifier
1316440498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 267021
- Practice address
- 2452 Wilshire St
Riverside, CA 92501-2144 - Phone
- (951) 682-6631
- Fax
- (951) 682-6614
- NPI assigned
- Mar 14, 2018
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 267021 | CA | Primary |
Addresses
Primary practice location
2452 Wilshire St
Riverside, CA 92501-2144
Mailing address
2473 Orange St
Riverside, CA 92501-2242
Phone (951) 682-6631
Other practice location 1
5870 Arlington Ave
Riverside, CA 92504-2037
Phone (951) 683-6596 ext. 1056
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 |
|---|---|---|---|
| 267021 | CA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whiteside Manor, Inc. | 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.
-
- Substance Abuse Rehabilitation Facility
- Riverside, CA
- NPI 1376081323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1316440498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2473 ORANGE ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925012242",
"telephone_number": "951-682-6631",
"fax_number": "951-682-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2452 WILSHIRE ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925012144",
"telephone_number": "951-682-6631",
"fax_number": "951-682-6614"
}
],
"practiceLocations": [
{
"address_1": "5870 Arlington Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925042037",
"country_code": "US",
"telephone_number": "951-683-6596 x1056",
"fax_number": "951-683-4239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HO",
"first_name": "PAMELA",
"middle_name": "DIEM CHAU",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-14",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CA",
"license": "267021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.