Active NPI
David Pham
- Physical Therapist
- Santa Ana, CA
National Provider Identifier
1023612751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT299424
- Practice address
- 3100 W Warner Ave
Santa Ana, CA 92704-5331 - Phone
- (714) 546-4233
- NPI assigned
- Nov 23, 2020
- 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 | PT299424 | CA | Primary |
Addresses
Primary practice location
3100 W Warner Ave
Santa Ana, CA 92704-5331
Mailing address
14302 Lyndon St
Garden Grove, CA 92843-4637
Phone (518) 229-3189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT299424 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Physical Therapy and Wellness | Current | Accepting new patients | |
| Global Physical Therapy and Wellness | Physical Therapist | Current | Accepting new patients |
Locations
12131 Brookhurst St
Ste B
Garden Grove, CA 92840
Phone (714) 360-8828
Organizations & group practices 2
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 Therapist
- Garden Grove, CA
- NPI 1124603972
-
- Physical Therapy Clinic/Center
- Garden Grove, CA
- NPI 1609523356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1023612751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14302 LYNDON ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434637",
"telephone_number": "518-229-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 W WARNER AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045331",
"telephone_number": "714-546-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT299424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.