NPIMap

Organization Active NPI

Benjamin Van Pham

  • Foot & Ankle Surgery Podiatrist
  • Sacramento, CA
National Provider Identifier
1568829901
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4060 Issued in CA
Legal business name
BENJAMIN VAN PHAM
Practice address
5025 J St Ste 316
Sacramento, CA 95819-3839
Phone
(916) 732-2277
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Dayna Le
Title
Office Manager
Phone
(916) 333-9557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4060 CA Primary

Addresses

Primary practice location

5025 J St Ste 316
Sacramento, CA 95819-3839

Mailing address

685 Twelve Bridges Dr Ste F
Lincoln, CA 95648-8689
Phone (916) 408-5580

National Provider Directory

National Provider Directory
Tax ID family
Benjamin V Pham4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1568829901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 TWELVE BRIDGES DR STE F",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488689",
            "telephone_number": "916-408-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 J ST STE 316",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193839",
            "telephone_number": "916-732-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN VAN PHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-333-9557"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4060",
            "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 Jan 15, 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.

Verify at the official NPI Registry.