Phuoc Ngoc Pham, is a
Licensed Practical Nurse based in San Jose, California. Phuoc Ngoc Pham is licensed to practice in California (license number 697311) and his current practice location is
2001 The Alameda, San Jose, California. He can be reached at his office (for appointments etc.) via phone at
(408) 261-7777.
NPI number for Phuoc Ngoc Pham is 1376175430 and his current mailing address is 16740 San Luis Way, Morgan Hill, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376175430.
Provider's Profile
| Full Name | Phuoc Ngoc Pham |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 2001 The Alameda, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376175430
- Provider Enumeration Date: 02/06/2020
- Last Update Date: 02/06/2020
Medical Identifiers
Medical identifiers for Phuoc Ngoc Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376175430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 697311 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phuoc Ngoc Pham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Phuoc Ngoc Pham,
16740 San Luis Way,
Morgan Hill, CA 95037-7800
Ph: () - | Phuoc Ngoc Pham,
2001 The Alameda,
San Jose, CA 95126-1136
Ph: (408) 261-7777 |
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