Active NPI
Van Pham
- School Social Worker
- San Jose, CA
National Provider Identifier
1770085128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 136474
- Practice address
- 645 Wool Creek Dr
San Jose, CA 95112-2617 - Phone
- (408) 320-6000
- NPI assigned
- Mar 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 136474 | CA | Primary |
Addresses
Primary practice location
645 Wool Creek Dr
San Jose, CA 95112-2617
Mailing address
4433 Sacramento Ave
Fremont, CA 94538-1227
Phone (510) 673-7191
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": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1770085128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4433 SACRAMENTO AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381227",
"telephone_number": "510-673-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 WOOL CREEK DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951122617",
"telephone_number": "408-320-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "VAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-01",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": "136474",
"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 May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.