Individual provider Active NPI

Alexander Pham, MD

  • Surgery Physician
  • Yorba Linda, CA
National Provider Identifier
1003349366
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A188218 Issued in CA
Practice address
21140 Ridge Park Dr
Yorba Linda, CA 92886-7809
Phone
(714) 824-2554
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A188218 CA Primary

Addresses

Primary practice location

21140 Ridge Park Dr
Yorba Linda, CA 92886-7809

Mailing address

21140 Ridge Park Dr
Yorba Linda, CA 92886-7809
Phone (714) 824-2554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231110000568 CA Practitioner - General Surgery 6507104411 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baromedical Physician Associates Medical Group IncGroup PAC ID 9133031610, 6 clinicians

Practice addresses (Care Compare)

720 N Tustin Ave
Suite 100
Santa Ana, CA 92705-3693
Phone (714) 973-8777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baromedical Physician Associates Medical Group CurrentSince Oct 23, 2023 Accepting new patients
Robert Marriott Medical Corp Surgery CurrentSince Mar 24, 2024 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Oct 12, 2023 Accepting new patients

Locations

1401 New Stine Rd
Bakersfield, CA 93309
Phone (661) 368-5926

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

5750 Downey Ave
Ste 100
Lakewood, CA 90712
Phone (562) 630-3105

1428 W North Ave
Lompoc, CA 93436
Phone (805) 735-4010

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

2278 Nice Ave
Mentone, CA 92359
Phone (909) 204-5000

5225 S J St
Oxnard, CA 93033
Phone (805) 488-3696

751 San Pedro Terrace Rd
Pacifica, CA 94044
Phone (650) 359-4800

150 Bellefontaine St
Pasadena, CA 91105
Phone (626) 793-1103

2225 N Perris Blvd
Perris, CA 92571
Phone (951) 657-2135

2900 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 201-4000

2120 Stockton Blvd
Sacramento, CA 95817
Phone (916) 452-6631

900 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 419-0956

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

2580 Samaritan Dr
San Jose, CA 95124
Phone (408) 356-7002

720 N Tustin Ave
Ste 100
Santa Ana, CA 92705
Phone (714) 973-8777

2990 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 479-6950

1321 Franklin St
Santa Monica, CA 90404
Phone (310) 828-5596

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1003349366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21140 RIDGE PARK DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867809",
            "telephone_number": "714-824-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21140 RIDGE PARK DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928867809",
            "telephone_number": "714-824-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A188218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.