Individual provider Active NPI

Sean Thang Nguyen Pham, DO

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1164950523
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOS-2455 Issued in HI
Practice address
545 Ohohia St
Honolulu, HI 96819-1935
Phone
(808) 831-3000
Fax
(808) 834-5763
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOS-2455 HI Primary

Addresses

Primary practice location

545 Ohohia St
Honolulu, HI 96819-1935

Mailing address

545 Ohohia St
Honolulu, HI 96819-1935
Phone (808) 831-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922002990 HI Practitioner - Family Practice 4082027693 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17321CAMDProfessional Counselor
DOS-2455HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Hawaii Prof Corp CurrentSince Aug 19, 2023 Accepting new patients
California Vein Vascular and Diagnostics, Inc. PastSince Jun 1, 2021 Accepting new patients

Locations

545 Ohohia St
Honolulu, HI 96819
Phone (808) 831-3000

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1164950523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 OHOHIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191935",
            "telephone_number": "808-831-3000",
            "fax_number": "808-834-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 OHOHIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191935",
            "telephone_number": "808-831-3000",
            "fax_number": "808-834-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "SEAN THANG",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-2455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.