Active NPI
Chau Ngoc Pham, L.AC
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1063606507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 9262
- Practice address
- 5301 E. Whittier Blvd
Los Angeles, CA 90022 - Phone
- (213) 430-9180
- Fax
- (213) 430-9193
- NPI assigned
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 9262 | CA | Primary |
Addresses
Primary practice location
5301 E. Whittier Blvd
Los Angeles, CA 90022
Mailing address
655 S Flower St
368
Los Angeles, CA 90017-2805
Phone (213) 430-9180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9262 | CA | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcare Medical Institute Inc. | Past | Accepting new patients | |
| Omnipsych a Medical Corporation | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1063606507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S FLOWER ST",
"address_2": "368",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900172805",
"telephone_number": "213-430-9180",
"fax_number": "213-430-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E. WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90022",
"telephone_number": "213-430-9180",
"fax_number": "213-430-9193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "CHAU",
"middle_name": "NGOC",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "9262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.