Kathryn Thanh Pham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14932 Issued in CA

Practice address

8942 Garden Grove Blvd
Ste 104
Garden Grove, CA 92844-3327

Phone

(714) 638-0852

NPI assigned

Jun 20, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fourth Optometric Care of California

  dba Mt View Optometry and Contact Lens Clinic

  • Optometrist
  • Mountain View, CA
  • NPI 1497499974
  Medicare reassignment NPD
• Eric Bass, O.D.

  • Optometrist
  • Westminster, CA
  • NPI 1780765289
  Medicare reassignment
• Eric J Bass

  • Optometrist
  • Orange, CA
  • NPI 1881764546
  NPD
• Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
  • NPI 1689248874
  NPD

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1063826741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8942 GARDEN GROVE BLVD",
            "address_2": "STE 104",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928443327",
            "telephone_number": "714-638-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8942 GARDEN GROVE BLVD",
            "address_2": "STE 104",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928443327",
            "telephone_number": "714-638-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KATHRYN",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huong T Pham, OD
• Huy Pham, DPT
• Joseph Pham, PHARMD
• Julie Anh Pham, RN
• Justine Pham
• Kevin Pham
• Kevin Q Pham
• Kristie Pham
• Lanchi Ngoc Pham, DMD
• Le Pham, PHARMD

• Optometrist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.