Active NPI
Huong Pham Optometry Corporation
- Clinic/Center
- Garden Grove, CA
National Provider Identifier
1043798994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 10462
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Huong T Pham, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10462T | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Garden Grove, CA
- NPI 1376619023
-
- Optometrist
- Orange, CA
- NPI 1598591919
-
- Optometrist
- Garden Grove, CA
- NPI 1295254746
-
- Optometrist
- Garden Grove, CA
- NPI 1295800696
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.