Active NPI
Julie Thao Thanh Pham, DO
- Family Medicine Physician
- Elk Grove, CA
National Provider Identifier
1780972927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A11632
- Practice address
- 8110 Laguna Blvd
Elk Grove, CA 95758-8094 - Phone
- (916) 683-3955
- NPI assigned
- Jul 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A11623 | CA | |
| Family Medicine Physician | 207Q00000X | 20A11632 | CA | Primary |
Addresses
Primary practice location
8110 Laguna Blvd
Elk Grove, CA 95758-8094
Mailing address
1 Shields Ave
Davis, CA 95616
Phone (530) 752-2300
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1780972927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SHIELDS AVE",
"city": "DAVIS",
"state": "CA",
"postal_code": "95616",
"telephone_number": "530-752-2300",
"fax_number": "530-752-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8110 LAGUNA BLVD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957588094",
"telephone_number": "916-683-3955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "JULIE",
"middle_name": "THAO THANH",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A11623",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A11632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.