JENNIE LYNN PHAM PA-C
NPI 1720558018
Physician Assistant in Oakland, CA

Active since November 28, 2018
3100 TELEGRAPH AVE, OAKLAND, CA 94609(510) 869-6511 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennie Lynn Pham Pa-c NPPES

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

JENNIE LYNN PHAM PA-C (NPI 1720558018) is an individual physician assistant in Oakland, California and active in the NPI registry since November 2018. She maintains a secondary practice location in Irvine.

NPPES Registry Identity

NPI1720558018
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIE LYNN PHAMCredential: PA-C
Location Address3100 TELEGRAPH AVEOakland, CA 94609
Mailing Address3100 Telegraph AveOakland, CA 94609-3239 · (510) 869-6511
Sole ProprietorNo
Enumeration DateNovember 28, 2018
NPI 1720558018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3100 TELEGRAPH AVE, Oakland, CA 94609

Secondary Practice Location 1

Location 113 MontgomeryIrvine, CA 92604-1928 · Phone (949) 742-1027

Other Providers at the Same Location NPPES 20

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

Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Pharmacist
3100 TELEGRAPH AVE, SUITE 1100
OAKLAND, CA 94609
Student in an Organized Health Care Education/Training Program
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Student in an Organized Health Care Education/Training Program
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Nurse Anesthetist, Certified Registered
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Nurse Anesthetist, Certified Registered
3100 TELEGRAPH AVE
OAKLAND, CA 94609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennie Pham's NPI number?

The NPI number for Jennie Pham is 1720558018. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Where is Jennie Pham located?

Jennie Pham practices at 3100 Telegraph Ave, Oakland, CA 94609. The listed phone number is (510) 869-6511.

What is Jennie Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jennie Pham was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.