Organization Active NPI

Phamfirst Clinic

Doing business as Prohealth Medical Center

  • Internal Medicine Physician
  • Falls Church, VA
National Provider Identifier
1124727706
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHAMFIRST CLINIC
Doing business as
Prohealth Medical Center
Practice address
107 Park PL
Falls Church, VA 22046-4513
Phone
(703) 241-8811
Fax
(703) 241-8813
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Dan Pham, MDNPI 1518313659
Title
Owner
Phone
(703) 241-8811

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

107 Park PL
Falls Church, VA 22046-4513

Mailing address

107 Park PL
Falls Church, VA 22046-4513
Phone (703) 241-8811

Other names 1

  • PROHEALTH MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230424003068 DC Part B Supplier - Clinic/Group Practice 1951766039 Receives reassigned benefits from 5 practitioners
Practice locations: Falls Church, VA

National Provider Directory

National Provider Directory

Locations

107 Park Pl
Falls Church, VA 22046
Phone (703) 241-8811

Practitioners & affiliated clinicians

Practitioners 6

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": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1124727706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PARK PL",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464513",
            "telephone_number": "703-241-8811",
            "fax_number": "703-241-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PARK PL",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464513",
            "telephone_number": "703-241-8811",
            "fax_number": "703-241-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAMFIRST CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-241-8811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROHEALTH MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.