| Kevin Gunney Pham, DO | |
|
620 Shadow Lane, Las Vegas, NV 89106-4194 | |
| (702) 477-6572 | |
| (702) 388-8431 |
| Full Name | Kevin Gunney Pham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 13 Years |
| Location | 620 Shadow Lane, Las Vegas, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407119852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO1944 (Nevada) | Secondary |
| 207R00000X | Internal Medicine | SL0902 (Nevada) | Secondary |
| 208M00000X | Hospitalist | 20A14043 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palomar Health Downtown Campus | Escondido, CA | Hospital |
| Pih Health Hospital-whittier | Whittier, CA | Hospital |
| Sharp Chula Vista Medical Center | Chula vista, CA | Hospital |
| Pomerado Hospital | Poway, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Palomar Hospitalist Medical Group Inc | 3678978269 | 47 |
| San Diego Critical Care Medical Group Inc | 7911083886 | 64 |
| Pih Health Physicians | 8426951328 | 509 |
| Entity Name | Pih Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609233899 PECOS PAC ID: 8426951328 Enrollment ID: O20040128001177 |
| Entity Name | Fountain Valley Group Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013310309 PECOS PAC ID: 9931427382 Enrollment ID: O20150417000931 |
| Entity Name | Sunrise Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568858306 PECOS PAC ID: 3870805823 Enrollment ID: O20150702002225 |
| Entity Name | Desert Group Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891240602 PECOS PAC ID: 6507145034 Enrollment ID: O20161128000709 |
| Entity Name | White Feather Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710595392 PECOS PAC ID: 8628496171 Enrollment ID: O20200915001737 |
| Entity Name | Palomar Hospitalist Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801466826 PECOS PAC ID: 3678978269 Enrollment ID: O20210819002346 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Gunney Pham, DO 620 Shadow Lane, Las Vegas, NV 89106-4194 Ph: (702) 477-6572 | Kevin Gunney Pham, DO 620 Shadow Lane, Las Vegas, NV 89106-4194 Ph: (702) 477-6572 |
Dr. Trent T Richardson, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8280 W Warm Springs Rd, Las Vegas, NV 89113 Phone: 702-492-8592 Fax: 702-492-8045 | |
Dr. Vinod Korrapati, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2720 N Tenaya Way, Las Vegas, NV 89128 Phone: 419-865-3040 Fax: 702-560-2928 | |
Juan Esteban Rey Rueda, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3540 W Sahara Ave # 330, Las Vegas, NV 89102 Phone: 725-217-8555 Fax: 702-259-1252 | |
Dr. Raoul I Tamayo, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8253 Fax: 702-207-8256 | |
Shamoona Ahmed, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8253 Fax: 702-207-8256 | |
Ms. Ekaterine Asambadze, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8263 Fax: 702-207-8256 | |
Dr. Mohamed Attia, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000 |