Active NPI
Alexander Minh Pham, DPT
- Physical Therapist
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 10900 Warner Ave Ste 117
Fountain Valley, CA 92708-3846 - Phone
- (145) 943-9727
- Fax
- (714) 587-9670
- NPI assigned
- Mar 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
10900 Warner Ave Ste 117
Fountain Valley, CA 92708-3846
Mailing address
8212 E Hillsdale Dr
Orange, CA 92869-2448
Phone (714) 224-2956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10900 Warner Ave
Suite 117
Fountain Valley, CA 92708-3846
Phone (714) 594-3972
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.7 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Physical Therapy PC | Physical Therapy | Current | Accepting new patients |
| MCM Rehabilitation LLC | Current | Accepting new patients | |
| MCM Rehabilitation, LLC. | Physical Therapist | Current | Accepting new patients |
Locations
10900 Warner Ave
Ste 117
Fountain Valley, CA 92708
Phone (714) 594-3972
1343 W Walnut Ave
Dalton, GA 30720
Phone (706) 913-8201
97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cr
Chicago, IL 60674
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.
-
- Physical Therapy Clinic/Center
- Fountain Valley, CA
- NPI 1942682323
-
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1538226840
GA, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hixson, TN
- NPI 1922681360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1003566217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8212 E HILLSDALE DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928692448",
"telephone_number": "714-224-2956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 WARNER AVE STE 117",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083846",
"telephone_number": "145-943-9727",
"fax_number": "714-587-9670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "ALEXANDER",
"middle_name": "MINH",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-29",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.