Individual provider Active NPI

Eric H Pham, MD

  • Surgery Physician
  • Orange, CA
National Provider Identifier
1124055041
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A78428 Issued in CA
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

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050811001063 CA Practitioner - General SurgeryPractitioner - General Practice 8224067962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
University of California, San Diego School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Surgical AssociatesGroup PAC ID 8325577208, 7 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)13
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A78428CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Surgical Associates Surgery CurrentSince Jan 1, 2025 Accepting new patients
Eric H. Pham MD Inc CurrentSince Aug 1, 2006 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.