NPIMap

Organization Active NPI

Ngoc Minh Pham MD & Suong My Tuong MD a Medical Corporation

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1114098886
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34924 Issued in CA
Legal business name
NGOC MINH PHAM MD & SUONG MY TUONG MD A MEDICAL CORPORATION
Practice address
2363 Ulric Street
Suite B
San Diego, CA 92111-6447
Phone
(858) 268-1747
Fax
(858) 268-4172
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Ngoc Minh Pham, MDNPI 1376653287
Title
Owner
Phone
(858) 268-1747

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A34924 CA Primary

Addresses

Primary practice location

2363 Ulric Street
Suite B
San Diego, CA 92111-6447

Mailing address

2363 Ulric St
Suite B
San Diego, CA 92111-6447
Phone (858) 268-1747

Other identifiers 1

IdentifierTypeStateIssuer
00A349240MedicaidCA

Other names 1

  • NGOC Minh Pham MD Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1114098886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 ULRIC ST",
            "address_2": "SUITE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116447",
            "telephone_number": "858-268-1747",
            "fax_number": "858-268-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 ULRIC STREET",
            "address_2": "SUITE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116447",
            "telephone_number": "858-268-1747",
            "fax_number": "858-268-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGOC MINH PHAM MD & SUONG MY TUONG MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "NGOC",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-268-1747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A349240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NGOC Minh Pham MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.