| Tam-thao Thi Pham, NP | |
|
7514 Girard Ave, Suite 4, La Jolla, CA 92037-5149 | |
| (858) 754-1114 | |
| (800) 490-3126 |
| Full Name | Tam-thao Thi Pham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 7514 Girard Ave, La Jolla, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255609913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP20608 (California) | Primary |
| 363LF0000X | Nurse Practitioner - Family | NP 20608 (California) | Secondary |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Mailing Address | Practice Location Address |
|---|---|
| Tam-thao Thi Pham, NP 7514 Girard Ave, Suite 4, La Jolla, CA 92037-5149 Ph: (858) 754-1114 | Tam-thao Thi Pham, NP 7514 Girard Ave, Suite 4, La Jolla, CA 92037-5149 Ph: (858) 754-1114 |
Ms. Jumai Fathiya Dawuda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10710 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7100 | |
Bonnie Susan Omeara, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9500 Gilman Dr, La Jolla, CA 92093 Phone: 858-534-3300 | |
Yevheniya Khrobust, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, La Jolla, CA 92037 Phone: 858-554-9100 | |
Angela R Acfalle, NP CNS Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9500 Gilman Dr, # 0039, La Jolla, CA 92093 Phone: 858-534-2918 | |
Jessica Merchant, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9834 Genesee Ave Ste 412, La Jolla, CA 92037 Phone: 858-457-8600 | |
Dr. Nicole Lorraine Brustkern, DNP, FNP-C, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5726 La Jolla Blvd, La Jolla, CA 92037 Phone: 425-269-2369 | |
Ms. Deedra Elizabeth Roberts, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5655 Caminito Danzarin, La Jolla, CA 92037 Phone: 512-466-2087 |