| Renee Pham, NP | |
|
955 W Imperial Hwy Ste 200, Brea, CA 92821-3812 | |
| (714) 449-6000 | |
| Not Available |
| Full Name | Renee Pham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 955 W Imperial Hwy Ste 200, Brea, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003526187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95022288 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mission Hospital Regional Med Center | Mission viejo, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1329 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Pham, NP 955 W Imperial Hwy Ste 200, Brea, CA 92821-3812 Ph: (714) 449-6000 | Renee Pham, NP 955 W Imperial Hwy Ste 200, Brea, CA 92821-3812 Ph: (714) 449-6000 |
Norma Isela Vega, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 N Brea Blvd Apt 47, Brea, CA 92821 Phone: 714-612-3589 | |
Barbara Lynn Niklas, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-671-0766 | |
Cody James Nugent, DNP, PMHNP - BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3350 E Birch St Ste 206, Brea, CA 92821 Phone: 562-431-8822 Fax: 562-431-8875 | |
Jae Woo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 955 W Imperial Hwy Ste 200, Brea, CA 92821 Phone: 714-449-6900 | |
Rio Marie A. Calvert, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 E Birch St Ste 350, Brea, CA 92821 Phone: 949-933-4943 | |
Sarah Grabarsky, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2315 E Imperial Hwy C123, Brea, CA 92821 Phone: 714-862-7792 |