| Jenny Pham, | |
|
4626 Willow Rd, Pleasanton, CA 94588-8517 | |
| (925) 463-0470 | |
| Not Available |
| Full Name | Jenny Pham |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4626 Willow Rd, Pleasanton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730836487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 60770 (California) | Primary |
| Entity Name | Tri-valley Orthopedic and Sports Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184808156 PECOS PAC ID: 3577461151 Enrollment ID: O20031219000786 |
| Entity Name | Spine & Nerve Diagnostic Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144628504 PECOS PAC ID: 9830416460 Enrollment ID: O20150319001739 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Pham, 3207 Yellowleaf Ct, San Jose, CA 95135-2029 Ph: (408) 387-2689 | Jenny Pham, 4626 Willow Rd, Pleasanton, CA 94588-8517 Ph: (925) 463-0470 |
Desmond Chee, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 925-416-6585 |
Ryan Scott Cates, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 813-732-7842 |
Yannie Tong, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5565 W Las Positas Blvd Ste 320, Ste 320, Pleasanton, CA 94588 Phone: 650-723-4000 |
Zhanna Byalaya, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5725 W Las Positas Blvd, Suite 200, Pleasanton, CA 94588 Phone: 925-469-6274 Fax: 925-924-1769 |
Giovana Meza, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5860 Owens Dr Ste 220, Pleasanton, CA 94588 Phone: 925-734-0336 |
Michael Thomas Prentice, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5000 Hopyard Rd Ste 100, Pleasanton, CA 94588 Phone: 925-924-1600 Fax: 925-924-0506 |
Aklil M. Rostai, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5555 W Las Positas Blvd, Pleasanton, CA 94588 Phone: 925-416-6585 Fax: 925-416-3565 |