Active NPI
Eric H Pham, MD
- Surgery Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A78428
- Practice address
- 1140 West la Veta
Suite 760
Orange, CA 92868 - Phone
- (714) 541-4343
- Fax
- (714) 835-9550
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A78428 | CA | Primary |
Addresses
Primary practice location
1140 West la Veta
Suite 760
Orange, CA 92868
Mailing address
1140 W la Veta Ave Ste 760
Orange, CA 92868-4229
Phone (714) 541-4343
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of California, San Diego School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 W la Veta Ave
Suite 470
Orange, CA 92868-4305
Phone (714) 835-8300
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 13 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A78428 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Surgical Associates | Surgery | Current | Accepting new patients |
| Eric H. Pham MD Inc | Current | Accepting new patients | |
| Usc Surgeons, Inc. | Surgery | Past | Accepting new patients |
Locations
3400 W Ball Rd
Ste 208
Anaheim, CA 92804
Phone (714) 761-0759
1010 W La Veta Ave
Ste 775
Orange, CA 92868
Phone (714) 954-0270
1010 W La Veta Ave
Ste 470
Orange, CA 92868
Phone (714) 202-5682
1140 W La Veta Ave
Ste 760
Orange, CA 92868
Phone (714) 541-4343
17542 17th St
Ste 410
Tustin, CA 92780
Phone (714) 453-0688
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/anahcom-b22a9394
Organizations & group practices 3
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.
-
- Specialist
- Orange, CA
- NPI 1457451585
-
- Surgery Physician
- Orange, CA
- NPI 1902630841
-
- Surgery Physician
- Los Angeles, CA
- NPI 1821034315
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1902479447
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Orange, CA
- NPI 1558575746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1124055041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 W LA VETA AVE STE 760",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684229",
"telephone_number": "714-541-4343",
"fax_number": "714-835-9550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 WEST LA VETA",
"address_2": "SUITE 760",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-541-4343",
"fax_number": "714-835-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "ERIC",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A78428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.