Active NPI
Mylan Ngoc Pham
- Behavior Analyst
- Hayward, CA
National Provider Identifier
1114200359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-31741
- Practice address
- 20900 Corsair Blvd
Hayward, CA 94545-1002 - Phone
- (510) 936-8891
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-31741 | ||
| Behavior Analyst | 103K00000X | 1-18-31741 | CA | Primary |
Addresses
Primary practice location
20900 Corsair Blvd
Hayward, CA 94545-1002
Mailing address
PO Box 740780
Atlanta, GA 30374-0780
Phone (855) 223-7123
Other practice location 1
6601 Owens Dr Ste 270
Pleasanton, CA 94588
Phone (866) 727-8274
Other practice location 2
1025 Atlantic Ave Ste 101
Alameda, CA 94501
Phone (510) 328-7178
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1114200359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740780",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740780",
"telephone_number": "855-223-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20900 CORSAIR BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945451002",
"telephone_number": "510-936-8891"
}
],
"practiceLocations": [
{
"address_1": "6601 Owens Dr Ste 270",
"address_purpose": "LOCATION",
"city": "Pleasanton",
"state": "CA",
"postal_code": "94588",
"country_code": "US",
"telephone_number": "866-727-8274",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 Atlantic Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Alameda",
"state": "CA",
"postal_code": "94501",
"country_code": "US",
"telephone_number": "510-328-7178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "MYLAN",
"middle_name": "NGOC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-18-31741",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-18-31741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.