PAMELA P VISATHEP FNP NPI 1407828544

NPI Information

  • NPI: 1407828544
  • Provider Name: PAMELA P VISATHEP, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1600 CREEKSIDE DR
    SUITE 3800
    FOLSOM, CA
    ZIP 95630
  • Phone: (916) 984-7830

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NPI Details

Pamela P Visathep, FNP is a family nurse practitioner in Folsom, CA with 34 years of experience. Pamela P Visathep, FNP NPI is 1407828544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

1600 CREEKSIDE DR
SUITE 3800
FOLSOM, CA
ZIP 95630-444
Phone: (916) 984-7830
Fax: (916) 984-7887

The NPI 1407828544 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 2/3/2006 and was last updated on 12/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner11998CALIFORNIANo
2363LA2200XNurse PractitionerAdult Health11998CALIFORNIANo
3363LF0000XNurse PractitionerFamily11998CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S69357MEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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