Individual provider · Type 1 NPI

Jacqueline Pham

Psychiatric/Mental Health Nurse Practitioner · Mission Viejo, CA

NPI number 1114534542 Active

Practice location

25272 Marguerite Pkwy
Mission Viejo, CA 92692-2901

Call (949) 581-9120 Map

Mailing address

14 Lucero W
Irvine, CA 92620-1921

Other practice locations

  • 20271 SW Birch St Ste 100, Newport Beach, CA 92660-1714 · (949) 553-0260

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X95011232 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95011232 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1114534542

Jacqueline Pham's National Provider Identifier is 1114534542, issued on Sep 29, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mission Viejo, CA. The record was last updated on Oct 14, 2026.