KEVIN PHAM NGUYEN DO
NPI 1114869641
Student in an Organized Health Care Education/Training Program in Porterville, CA

Active since April 06, 2026
465 W PUTNAM AVE, PORTERVILLE, CA 93257(559) 748-1110 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kevin Pham Nguyen Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN PHAM NGUYEN DO (NPI 1114869641) is an individual student in an organized health care education/training program in Porterville, California and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1114869641
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN PHAM NGUYENCredential: DO
Location Address465 W PUTNAM AVEPorterville, CA 93257-3320
Mailing Address465 W Putnam AvePorterville, CA 93257-3320 · (559) 748-1110
Sole ProprietorYes
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
NPI 1114869641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

465 W PUTNAM AVE, Porterville, CA 93257

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Anesthesiology
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Nurse Anesthetist, Certified Registered
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Pediatrics
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Emergency Medicine
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Emergency Medicine
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Emergency Medicine
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Emergency Medicine
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Emergency Medicine
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Physician Assistant
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Nurse Anesthetist, Certified Registered
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Physician Assistant
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Radiology (Therapeutic Radiology)
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Radiology (Diagnostic Radiology)
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Specialist
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Internal Medicine (Hematology & Oncology)
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Physician Assistant
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Nurse Anesthetist, Certified Registered
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Anesthesiology
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Emergency Medicine
465 W PUTNAM AVE
PORTERVILLE, CA 93257

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114869641, enumerated as an "individual" on April 06, 2026.

The provider is located at 465 W PUTNAM AVE PORTERVILLE, CA 93257 and the phone number is (559) 748-1110.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.