Thao N Pham, DO | |
260 International Cir, San Jose, CA 95119-1130 | |
(408) 972-7000 | |
Not Available |
Full Name | Thao N Pham |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 260 International Cir, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679659197 | NPI | - | NPPES |
020A73970 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 20A7397 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Thao N Pham, DO 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Thao N Pham, DO 260 International Cir, San Jose, CA 95119-1130 Ph: (408) 972-7000 |
Sonya L J Meyers, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 275 Hospital Pkwy, 5th Floor, San Jose, CA 95119 Phone: 669-245-0161 | |
Elizabeth D. E. Kaiser, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
Dr. Masaaki Tsuruike, PHD, ATC Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: One Washington Square, San Jose, CA 95192 Phone: 408-924-3040 | |
Dr. Margarita Elsa Villarino, MD MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 976 Lenzen Ave Ste 1700, San Jose, CA 95126 Phone: 669-287-8095 | |
Lavanya Kailar, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 | |
Devina D. Grover, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 |