MISS PHUNG PHAM
NPI 1710629423
Registered Nurse in Sacramento, CA

Q: What is Phung Pham's NPI number?

The NPI number for Phung Pham is 1710629423. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Q: What is Phung Pham's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Phung Pham was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2022

2130 STOCKTON BLVD # 300, SACRAMENTO, CA 95817(916) 520-2460 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Apr 22, 2022, Apr 12, 2022 (3 updates tracked since 2022).

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About Miss Phung Pham NPPES

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

MISS PHUNG PHAM (NPI 1710629423) is an individual registered nurse in Sacramento, California, licensed in California (95397953) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1710629423

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMISS PHUNG PHAM

Location Address2130 STOCKTON BLVD # 300Sacramento, CA 95817-1337

Mailing Address2130 Stockton Blvd # 300Sacramento, CA 95817-1337 · (916) 520-2460

Phone(916) 520-2460

Sole ProprietorNo

Enumeration DateApril 12, 2022

Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1710629423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in CA · 95397953

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2130 STOCKTON BLVD # 300, Sacramento, CA 95817

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA RUSSELL

Counselor (Mental Health)