Individual provider Active NPI

Nha Thanh Pham, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Los Gatos, CA
National Provider Identifier
1114213311
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5211 Issued in CA
Practice address
555 Knowles Dr Ste 220
Los Gatos, CA 95032-1551
Phone
(408) 379-8450
NPI assigned
Jun 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5211 CA Primary

Addresses

Primary practice location

555 Knowles Dr Ste 220
Los Gatos, CA 95032-1551

Mailing address

308 Willow Ave
Attn: Podiatry
Hoboken, NJ 07030-3808

Other practice location 1

2101 Forest Ave Ste 118
San Jose, CA 95128-1472
Phone (408) 292-8800

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151130000406 CA Practitioner - PodiatryPractitioner - Sports Medicine 8022233584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Sports Medicine
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce I Lerman DPM IncGroup PAC ID 6901932664, 5 clinicians

Practice addresses (Care Compare)

555 Knowles Dr
Los Gatos, CA 95032-1542
Phone (408) 292-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.71 of 100Reported as individual
Quality
81.78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue361
Removal of nail tissue359
Removal or shaving of skin growth235
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5211CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce I Lerman DPM, Inc Foot & Ankle Surgery CurrentSince Oct 5, 2015 Accepting new patients
County of Santa Clara Past Accepting new patients
O'Connor Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
James G Elipas DPM PC Foot & Ankle Surgery Past Accepting new patients

Locations

555 Knowles Dr
Ste 117
Los Gatos, CA 95032
Phone (408) 292-8800

2101 Forest Ave
Ste 118
San Jose, CA 95128
Phone (408) 292-8800

Interoperability endpoints

  • Direct secure messaging: npham125941@santaclaravalley.direct-ci.net
  • Direct secure messaging: nha.pham@direct.carepointhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1114213311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WILLOW AVE",
            "address_2": "ATTN: PODIATRY",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 KNOWLES DR STE 220",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321551",
            "telephone_number": "408-379-8450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Forest Ave Ste 118",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281472",
            "country_code": "US",
            "telephone_number": "408-292-8800",
            "fax_number": "408-292-8809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NHA",
        "middle_name": "THANH",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-26",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.