| Louis Pham, FNP-C | |
|
585 N Mountain Ave Ste A, Upland, CA 91786-8516 | |
| (909) 500-4574 | |
| Not Available |
| Full Name | Louis Pham |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 585 N Mountain Ave Ste A, Upland, California |
| 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 |
|---|---|---|---|
| 1235897281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95242868 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95024357 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Dermatology Institute | 2062546260 | 32 |
| Sand Dermatology Pc | 3274960752 | 6 |
| Entity Name | Pacific Dermatology Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740410182 PECOS PAC ID: 2062546260 Enrollment ID: O20100810000288 |
| Entity Name | Sand Dermatology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558918441 PECOS PAC ID: 3274960752 Enrollment ID: O20200221001553 |
| Mailing Address | Practice Location Address |
|---|---|
| Louis Pham, FNP-C 9220 Haven Ave Ste 120, Rancho Cucamonga, CA 91730-8551 Ph: Not Available | Louis Pham, FNP-C 585 N Mountain Ave Ste A, Upland, CA 91786-8516 Ph: (909) 500-4574 |
Stephanie J Rasmussen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 |
Yusleydys Panade Roman, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1020 W 16th St, Upland, CA 91784 Phone: 626-642-6977 |
Madonna Zand, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1310 San Bernardino Rd, 205, Upland, CA 91786 Phone: 909-981-9991 |
Michelle Jessica Carhill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 585 N Mountain Ave, Upland, CA 91786 Phone: 909-608-7546 |
Bernice Tan, DNP NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 N 13th Ave Ste 204, Upland, CA 91786 Phone: 909-920-0525 |
Dani Achi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 N Mountain Ave Ste 113, Upland, CA 91784 Phone: 909-377-0030 |
Nicole Mcdonald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1012 W 11th St, Upland, CA 91786 Phone: 909-244-6177 |