Individual provider Active NPI

Alexander Minh Pham, DPT

  • Physical Therapist
  • Fountain Valley, CA
National Provider Identifier
1003566217
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220404001807 GA Practitioner - Physical Therapist in Private Practice 3476949272 Reassigns benefits to 1 organization
I20240912001173 CA Practitioner - Physical Therapist in Private Practice 3476949272 Reassigns benefits to 1 organization

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
Hope Physical Therapy PCGroup PAC ID 5294045845, 4 clinicians

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 100Reported as group
Quality
90
Improvement activities
40
Cost
73.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Physical Therapy PC Physical Therapy CurrentSince Sep 1, 2024 Accepting new patients
MCM Rehabilitation LLC CurrentSince Mar 28, 2022 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Mar 28, 2022 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.

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.

Verify at the official NPI Registry.