Hong an Pham

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95002239 Issued in CA

Practice address

9351 Lily Ave
Fountain Valley, CA 92708-2263

Phone

(714) 422-6605

NPI assigned

Mar 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hongan Pham Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Fountain Valley Emergency Physicians, P.C.

  • Emergency Medicine Physician
  • Fountain Valley, CA
  • NPI 1639698475
  Medicare reassignment NPD
• Proactive Care Nursing, Inc

  • Adult Health Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1154713790
  Medicare reassignment NPD
• Westminster Medical Office Inc

  • Internal Medicine Physician
  • Westminster, CA
  • NPI 1306983812
  NPD (past)

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1134512551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 LILY AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082263",
            "telephone_number": "714-422-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 LILY AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082263",
            "telephone_number": "714-422-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HONG AN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HONGAN",
            "last_name": "PHAM",
            "credential": "N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Debbie D Pham, PHARMD
• Diana Pham
• Dieu Quang Pham, M.D., D.D.S.
• Gemie N Pham, O.D.
• Hai Pham, PHARM D
• Jacqueline Khanhlinh Pham
• Jonathan Pham, FNP-BC
• Kathy Pham
• Kenny Pham
• Kim Pham

• Family Nurse Practitioner in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.