Organization Active NPI

Huong Pham Optometry Corporation

  • Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1043798994
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10462 Issued in CA
Legal business name
HUONG PHAM OPTOMETRY CORPORATION
Practice address
14251 Euclid St Ste F101
Garden Grove, CA 92843-4957
Phone
(714) 265-2197
Fax
(714) 265-2411
NPI assigned
Aug 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Dr. Huong T Pham, ODNPI 1376619023
Title
Ceo
Phone
(714) 265-2197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10462 CA Primary

Addresses

Primary practice location

14251 Euclid St Ste F101
Garden Grove, CA 92843-4957

Mailing address

14251 Euclid St Ste F101
Garden Grove, CA 92843-4957
Phone (714) 265-2197

Other identifiers 1

IdentifierTypeStateIssuer
10462TMedicaidCA

National Provider Directory

National Provider Directory

Locations

14251 Euclid St
Ste F101
Garden Grove, CA 92843
Phone (714) 265-2197

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1043798994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 EUCLID ST STE F101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434957",
            "telephone_number": "714-265-2197",
            "fax_number": "714-265-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14251 EUCLID ST STE F101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434957",
            "telephone_number": "714-265-2197",
            "fax_number": "714-265-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUONG PHAM OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HUONG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-265-2197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "10462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10462T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.