Active NPI
Tram Pham
- Physical Therapy Assistant
- Rancho Cucamonga, CA
National Provider Identifier
1649694837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 10346
- Practice address
- 8655 Haven Ave Ste 200
Rancho Cucamonga, CA 91730-4891 - Phone
- (800) 642-5031
- NPI assigned
- Feb 10, 2014
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 10346 | CA | Primary |
Addresses
Primary practice location
8655 Haven Ave Ste 200
Rancho Cucamonga, CA 91730-4891
Mailing address
11551 Caldy Ave
Loma Linda, CA 92354-6703
Phone (909) 289-4995
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1649694837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11551 CALDY AVE",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923546703",
"telephone_number": "909-289-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8655 HAVEN AVE STE 200",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304891",
"telephone_number": "800-642-5031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "TRAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-10",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "10346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.